Active NPI
Misi ASC Dallas, LLC
- Ambulatory Surgical Clinic/Center
- Dallas, TX
National Provider Identifier
1073822425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 130080
- Legal business name
- MISI ASC DALLAS, LLC
- Practice address
- 10400 N Central Expy
Dallas, TX 75231 - Phone
- (972) 884-4370
- Fax
- (972) 884-4321
- NPI assigned
- Oct 4, 2010
- Last updated
- Jul 29, 2013
- Organization subpart
- Yes
- Parent organization
- MISI, PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Bassem Rimlawi, DO
- Title
- Founder/Board Chair
- Phone
- (972) 884-4301
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | TX | ||
| Ambulatory Surgical Clinic/Center | 261QA1903X | 130080 | TX | Primary |
Addresses
Primary practice location
10400 N Central Expy
Dallas, TX 75231
Mailing address
10400 N Central Expy
Dallas, TX 75231
Phone (972) 884-4370
Other names 1
- MISI, PA
National Provider Directory
National Provider Directory- Part of
- Misi PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375056000000",
"number": "1073822425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10400 N CENTRAL EXPY",
"city": "DALLAS",
"state": "TX",
"postal_code": "75231",
"telephone_number": "972-884-4370",
"fax_number": "972-884-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 N CENTRAL EXPY",
"city": "DALLAS",
"state": "TX",
"postal_code": "75231",
"telephone_number": "972-884-4370",
"fax_number": "972-884-4321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISI ASC DALLAS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MISI, PA",
"enumeration_date": "2010-10-04",
"last_updated": "2013-07-29",
"status": "A",
"authorized_official_last_name": "RIMLAWI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "BASSEM",
"authorized_official_title_or_position": "FOUNDER/BOARD CHAIR",
"authorized_official_telephone_number": "972-884-4301",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": "130080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MISI, PA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.