Vanguard Diagnostic, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

VANGUARD DIAGNOSTIC, LLC

Practice address

4303 N Central Expy
Dallas, TX 75205-5597

Phone

(214) 534-9325

NPI assigned

Mar 4, 2020

Organization subpart

No

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

Authorized official

Name

Carl Weinkauf

Title

Manager

Phone

(214) 534-9325

Specialties & licenses 4

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1619502226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055597",
            "telephone_number": "214-534-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055597",
            "telephone_number": "214-534-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD DIAGNOSTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "WEINKAUF",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-534-9325"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Dallas",
            "affiliation": "N",
            "endpointDescription": "https://cms.officeally.com/",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4303 N Central Expy",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752055597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vanessa Alverez
• Vanessa Tilley Christopherson OD PLLC
• Mang Ya Vang, NP-C
• Eric Vangoethem
• Vanguard Center for Neurological Health
• Vanguard Home Health Services
• Vanguard Pain Management, PLLC
• Teresa B Vanhatupa, M.A., CCC-SLP
• Nathan Vanhoff, DO
• Nicolas Mauricio Vanin Moreno

• Medical Specialty Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.