Organization Active NPI

Select Diagnostics, LLC

  • EEG Specialist/Technologist
  • Katy, TX
National Provider Identifier
1205346954
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EEG Specialist/TechnologistTaxonomy code 246ZE0500X
Legal business name
SELECT DIAGNOSTICS, LLC
Practice address
535 E. Fernhurst Dr, Ste 111
Katy, TX 77450-1431
Phone
(888) 280-6332
Fax
(888) 252-7043
NPI assigned
Oct 9, 2017
Last updated
Dec 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Authorized official

Name
Kenneth Weatherwax
Title
Authorized Official
Phone
(469) 646-8663

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Specialist/Technologist 246ZE0500X NU Primary
Physiological Laboratory 293D00000X NU

Addresses

Primary practice location

535 E. Fernhurst Dr, Ste 111
Katy, TX 77450-1431

Mailing address

8222 Douglas Ave, Ste 820
Dallas, TX 75225
Phone (469) 646-8663

National Provider Directory

National Provider Directory

Locations

8222 Douglas Ave
Ste 820
Dallas, TX 75225
Phone (214) 373-6370

1535 West Loop S
Ste 325
Houston, TX 77027
Phone (832) 280-6332

535 E Fernhurst Dr
Ste 111
Katy, TX 77450
Phone (832) 280-6332

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1205346954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 DOUGLAS AVE, STE 820",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75225",
            "telephone_number": "469-646-8663",
            "fax_number": "888-252-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E. FERNHURST DR, STE 111",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501431",
            "telephone_number": "888-280-6332",
            "fax_number": "888-252-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "WEATHERWAX",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "469-646-8663"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.