Organization Active NPI

Comprehensive Neuro Services PC

  • Physiological Laboratory
  • Lansdowne, VA
National Provider Identifier
1619635018
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
COMPREHENSIVE NEURO SERVICES PC
Practice address
19415 Deerfield Ave Ste 310
Lansdowne, VA 20176-8472
Phone
(844) 212-5321
Fax
(214) 975-2270
NPI assigned
Dec 2, 2021
Last updated
Dec 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Frank Gray III
Title
Director
Phone
(844) 212-5321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

19415 Deerfield Ave Ste 310
Lansdowne, VA 20176-8472

Mailing address

PO Box 6529
McKinney, TX 75071-5114
Phone (844) 212-5321

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1619635018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6529",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715114",
            "telephone_number": "844-212-5321",
            "fax_number": "214-975-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE STE 310",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768472",
            "telephone_number": "844-212-5321",
            "fax_number": "214-975-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEURO SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "844-212-5321",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.