Active NPI
Comprehensive Neuro Services PC
- Physiological Laboratory
- Lansdowne, VA
National Provider Identifier
1619635018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- 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, 2021
- 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
- Frank Gray III
- Title
- Director
- Phone
- (844) 212-5321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.