Organization Active NPI

Cleared4 Inc.

  • Clinical & Laboratory Immunology (Internal Medicine) Physician
  • Dallas, TX
National Provider Identifier
1528794369
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Internal Medicine) PhysicianTaxonomy code 207RI0001X
Legal business name
CLEARED4 INC.
Practice address
17250 Dallas Pkwy
Dallas, TX 75248-1136
Phone
(866) 254-9675
NPI assigned
Jul 25, 2022
Last updated
Jul 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Soumi Eachempati, MD
Title
Ceo
Phone
(866) 254-9675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Internal Medicine) Physician 207RI0001X Primary

Addresses

Primary practice location

17250 Dallas Pkwy
Dallas, TX 75248-1136

Mailing address

17250 Dallas Pkwy
Dallas, TX 75248-1136
Phone (866) 254-9675

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1528794369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17250 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481136",
            "telephone_number": "866-254-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17250 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481136",
            "telephone_number": "866-254-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARED4 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "EACHEMPATI",
        "authorized_official_first_name": "SOUMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-254-9675",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 25, 2022; 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.