NPIMap

Organization Active NPI

Genesis Diagnostic Services Inc

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1083261606
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
GENESIS DIAGNOSTIC SERVICES INC
Practice address
13988 Diplomat Dr Ste D
Dallas, TX 75234-8807
Phone
(855) 436-9729
Fax
(855) 436-9729
NPI assigned
Aug 19, 2019
Last updated
Aug 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Syed Naveed, MD
Title
Authorized Official
Phone
(630) 776-5027

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary
Diagnostic Ultrasound Physician 2085U0001X NU

Addresses

Primary practice location

13988 Diplomat Dr Ste D
Dallas, TX 75234-8807

Mailing address

13988 Diplomat Dr Ste D
Dallas, TX 75234-8807
Phone (855) 436-9729

National Provider Directory

National Provider Directory
Tax ID family
Genesis Diagnostic Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13988 Diplomat Dr
Ste D
Dallas, TX 75234
Phone (855) 436-9729

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1083261606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13988 DIPLOMAT DR STE D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752348807",
            "telephone_number": "855-436-9729",
            "fax_number": "855-436-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13988 DIPLOMAT DR STE D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752348807",
            "telephone_number": "855-436-9729",
            "fax_number": "855-436-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS DIAGNOSTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "NAVEED",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "630-776-5027",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.