Organization Active NPI

Matrix Ionm LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Allen, TX
National Provider Identifier
1154011716
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
MATRIX IONM LLC
Practice address
981 State Highway 121
Allen, TX 75013-6147
Phone
(972) 872-8408
NPI assigned
May 8, 2023
Last updated
Feb 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Shannon Barnes
Title
Manager
Phone
(972) 872-8408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X NU Primary

Addresses

Primary practice location

981 State Highway 121
Allen, TX 75013-6147

Mailing address

3004 Commns Pkwy Ste 200-189
Plano, TX 75093-8904
Phone (214) 390-7697

National Provider Directory

National Provider Directory

Locations

960 Ridgeview Dr
Ste 140189
Allen, TX 75013

981 State Highway 121
Allen, TX 75013
Phone (972) 872-8408

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1154011716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 COMMNS PKWY STE 200-189",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938904",
            "telephone_number": "214-390-7697",
            "fax_number": "972-432-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 STATE HIGHWAY 121",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136147",
            "telephone_number": "972-872-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX IONM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-18",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-872-8408"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.