Organization Active NPI

Neurodiagnostics and Imaging LLC

  • Physiological Laboratory
  • Plano, TX
National Provider Identifier
1457952574
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
NEURODIAGNOSTICS AND IMAGING LLC
Practice address
2024 W 15TH St Ste F-352
Plano, TX 75075-7363
Phone
(844) 212-5321
Fax
(214) 594-9559
NPI assigned
Nov 4, 2020
Last updated
Nov 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

2024 W 15TH St Ste F-352
Plano, TX 75075-7363

Mailing address

PO Box 6529
McKinney, TX 75071-5114
Phone (844) 212-5321

National Provider Directory

National Provider Directory

Locations

2024 W 15th St
Ste F352
Plano, TX 75075

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1457952574",
    "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": "2024 W 15TH ST STE F-352",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757363",
            "telephone_number": "844-212-5321",
            "fax_number": "214-594-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODIAGNOSTICS AND IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "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": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.