Active NPI
Applied Intraoperative Care Technology
- Physiological Laboratory
- Dallas, TX
National Provider Identifier
1124667746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- APPLIED INTRAOPERATIVE CARE TECHNOLOGY
- Practice address
- 25 Highland Park VLG # 100-469
Dallas, TX 75205-2789 - Phone
- (214) 536-1647
- Fax
- (214) 580-7600
- NPI assigned
- Dec 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine Shoup Collins
- Title
- Practice Administrator
- Phone
- (214) 536-1647
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | |||
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
25 Highland Park VLG # 100-469
Dallas, TX 75205-2789
Mailing address
25 Highland Park VLG # 100-469
Dallas, TX 75205-2789
Phone (214) 536-1647
National Provider Directory
National Provider DirectoryLocations
25 Highland Park Vlg
#100469
Dallas, TX 75205
Phone (214) 536-1647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577664000000",
"number": "1124667746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HIGHLAND PARK VLG # 100-469",
"city": "DALLAS",
"state": "TX",
"postal_code": "752052789",
"telephone_number": "214-536-1647",
"fax_number": "214-580-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 HIGHLAND PARK VLG # 100-469",
"city": "DALLAS",
"state": "TX",
"postal_code": "752052789",
"telephone_number": "214-536-1647",
"fax_number": "214-580-7600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPLIED INTRAOPERATIVE CARE TECHNOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-30",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "SHOUP",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "214-536-1647"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"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 Dec 30, 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.