NPIMap

Organization Active NPI

Mobile Eeg Testing Inc

  • Radiology Clinic/Center
  • Arlington, TX
National Provider Identifier
1376218396
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MOBILE EEG TESTING INC
Practice address
1420 N Cooper St Ste 110
Arlington, TX 76011-8530
Phone
(800) 323-1771
Fax
(817) 483-4068
NPI assigned
Aug 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Mahnaz J DarvishyNPI 1093486268
Title
Owner
Phone
(817) 405-7582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X

Addresses

Primary practice location

1420 N Cooper St Ste 110
Arlington, TX 76011-8530

Mailing address

4101 W Green Oaks Blvd Ste 305
Arlington, TX 76016-6800
Phone (800) 323-1771

Other names 1

  • Mobile EEG Testing INC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210827001016 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0749685816 Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1376218396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 W GREEN OAKS BLVD STE 305",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760166800",
            "telephone_number": "800-323-1771",
            "fax_number": "817-483-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N COOPER ST STE 110",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760118530",
            "telephone_number": "800-323-1771",
            "fax_number": "817-483-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE EEG TESTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "DARVISHY",
        "authorized_official_first_name": "MAHNAZ",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-405-7582"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile EEG Testing INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.