Predictive Medical Solutions

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PREDICTIVE MEDICAL SOLUTIONS

Practice address

8330 Lyndon B Johnson Fwy
Suite B280
Dallas, TX 75243-1166

Phone

(214) 295-6703

NPI assigned

Apr 28, 2016

Last updated

Oct 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynn Fossum

Title

Coo

Phone

(214) 295-6703

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1417302399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 LYNDON B JOHNSON FWY",
            "address_2": "SUITE B280",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431166",
            "telephone_number": "214-295-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 LYNDON B JOHNSON FWY",
            "address_2": "SUITE B280",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431166",
            "telephone_number": "214-295-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREDICTIVE MEDICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "FOSSUM",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "214-295-6703"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.