NDL Dallas Holdings, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

NDL DALLAS HOLDINGS, LLC

Practice address

6510 Abrams Rd
Ste 510
Dallas, TX 75231-7217

Phone

(214) 363-3623

Fax

(214) 363-0869

NPI assigned

Feb 6, 2013

Organization subpart

No

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

Authorized official

Name

Erica Boehle

Title

General Manager

Phone

(602) 424-4450

Specialties & licenses 1

Addresses

Other names 1

• NeuroDiagnostic Labs Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• NDL Dallas Holdings, LLC

  • Physiological Laboratory
  • Dallas, TX
  • NPI 1518206713
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natacia N Howard, AUD

  • Audiologist
  • Phoenix, AZ
  • NPI 1578998613
  NPD (past)

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1295074557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 ABRAMS RD",
            "address_2": "STE 510",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317217",
            "telephone_number": "214-363-3623",
            "fax_number": "214-363-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 ABRAMS RD",
            "address_2": "STE 510",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317217",
            "telephone_number": "214-363-3623",
            "fax_number": "214-363-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDL DALLAS HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "BOEHLE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "602-424-4450"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroDiagnostic Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thembekile Ndebele, RN
• Sarah Ndedi, RN
• Bilola Patricia Ndibuli
• Samuel K Ndinjiakat, PA-C
• Nadine Efeti Ndip, PHD, LP
• NDL Dallas Holdings, LLC
• NDL Dallas Mobile Holdings, LLC
• Urielle Ndri
• Chimeremeze Ndubuoke, MD
• Ijeoma Obianuju Nduka

• Physiological Laboratory in Dallas, TX
• Providers in Dallas, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.