Visionary Diagnostics LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

VISIONARY DIAGNOSTICS LLC

Practice address

2450 Louisiana St Suite 400 #511
Houston, TX 77006

Phone

(727) 239-5804

NPI assigned

May 28, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Philip Freitas

Title

Ceo

Phone

(727) 239-5804

Specialties & licenses 2

Addresses

Other names 1

• M&F LLC Other name

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1346652138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 LOUISIANA ST SUITE 400 #511",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77006",
            "telephone_number": "727-239-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 LOUISIANA ST SUITE 400 #511",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77006",
            "telephone_number": "727-239-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "FREITAS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-239-5804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M&F LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.