Organization Active NPI

Cardiologx Diagnostic Solutions LLC

  • Physiological Laboratory
  • Dallas, TX
National Provider Identifier
1518640325
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
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

Updated by the provider on Aug 11, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20231213000561 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4385093525 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.