Inform Diagnostics, Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

INFORM DIAGNOSTICS, INC

Practice address

5 Bridle Path
Longview, TX 75605-7266

Phone

(214) 277-8700

Fax

(214) 596-2280

NPI assigned

Sep 23, 2021

Organization subpart

No

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

Authorized official

Name

Barbara Wolf

Title

SVP - Chief Compliance & Ethics Off

Phone

(214) 596-2235

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Inform Diagnostics, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Coppell, TX
  • NPI 1467433292

  O20040205000927

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Fulgent Therapeutics, LLC.

  • Clinical Medical Laboratory
  • El Monte, CA
  • NPI 1174964738

  Member Of

  NPD member

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1487325981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 N MACARTHUR BLVD",
            "address_2": "ATTN: PROVIDER ENROLLMENT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392443",
            "telephone_number": "214-277-8700",
            "fax_number": "214-596-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BRIDLE PATH",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057266",
            "telephone_number": "214-277-8700",
            "fax_number": "214-596-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFORM DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "SVP - CHIEF COMPLIANCE & ETHICS OFF",
        "authorized_official_telephone_number": "214-596-2235"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher E Ihionkhan, M.D.
• Omowumi Akhuini Ihionkhan, D.D.S.
• IHS Acquisition No 138 Inc (Heritage at Longview Healthcare Center)
• Beverly K Iltis, PA
• Impel Ambulance Service, Inc
• Lena Brittany Ingraham, PPCNP-BC, FNP-C
• Domanique Ingram
• Insp
• Integrated Ortho Services Inc
• Integrity Home Health LLC

• Anatomic Pathology & Clinical Pathology Physician in Longview, TX
• Providers in Longview, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.