Active NPI
Cardiologx Diagnostic Solutions LLC
- Physiological Laboratory
- Dallas, TX
National Provider Identifier
1518640325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- CARDIOLOGX DIAGNOSTIC SOLUTIONS LLC
- Practice address
- 9319 Lyndon B Johnson Fwy Ste 204
Dallas, TX 75243-3453 - Phone
- (888) 977-7455
- Fax
- (972) 928-9504
- NPI assigned
- Aug 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Iyad Abou Alfath
- Title
- Ceo
- Phone
- (972) 348-0700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary | ||
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X |
Addresses
Primary practice location
9319 Lyndon B Johnson Fwy Ste 204
Dallas, TX 75243-3453
Mailing address
PO Box 3413
McKinney, TX 75070-8188
Phone (972) 348-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231213000561 | TX | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4385093525 | Practice locations: Dallas, TX |
National Provider Directory
National Provider DirectoryLocations
9319 Lyndon B Johnson Fwy
Ste 204
Dallas, TX 75243
Phone (888) 977-7455
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Cardiac Electrophysiology Physician
- Plano, TX
- NPI 1194769133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691712000000",
"number": "1518640325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3413",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750708188",
"telephone_number": "972-348-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9319 LYNDON B JOHNSON FWY STE 204",
"city": "DALLAS",
"state": "TX",
"postal_code": "752433453",
"telephone_number": "888-977-7455",
"fax_number": "972-928-9504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOLOGX DIAGNOSTIC SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A",
"authorized_official_last_name": "ABOU ALFATH",
"authorized_official_first_name": "IYAD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "972-348-0700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
},
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Cardiac Dynamics,LLC
- Cardiac Perfusion Services, Inc
- Cardiacfitt, LLC
- Cardinal Pain Center PA
- Kelsey Lauranne Cardinal, CRNP
- Cardiology and Interventional Vascular Associates
- Cardiology Consultants of Texas
- Cardiology Consultants of Texas
- Cardiology Specialists of North Texas, PLLC
- Cardiovascular Support Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.