Active NPI
Matrix Ionm LLC
- Electroneurodiagnostic Specialist/Technologist
- Allen, TX
National Provider Identifier
1154011716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- 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, 2024
- 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
- Shannon Barnes
- Title
- Manager
- Phone
- (972) 872-8408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.