Dorman LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

DORMAN LLC

Practice address

3500 Central Ave Ste a
Kearney, NE 68847-2963

Phone

(844) 212-5321

Fax

(214) 594-9559

NPI assigned

Sep 3, 2020

Organization subpart

No

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

Authorized official

Name

Frank Gray III

Title

Director

Phone

(844) 212-5321

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1285248666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6529",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715114",
            "telephone_number": "844-212-5321",
            "fax_number": "214-594-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 CENTRAL AVE STE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472963",
            "telephone_number": "844-212-5321",
            "fax_number": "214-594-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "844-212-5321",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2472E0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Dodds
• Tara Lyn Dodds, APRN
• Magan Dolan, LIMHP
• Jennifer Lynne Dolence, CPSS
• Michael Lynn Dority, DC
• Jerod Dorn, SLP
• Sarah Julia Maria Doss, MD
• Josh Dougherty Helleberg
• Brooke Crystal Dougherty-Helleberg
• Mallory Dougherty, RN

• Physiological Laboratory in Kearney, NE
• Providers in Kearney, NE by specialty
• Physiological Laboratory in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.