NPIMap

Organization Active NPI

Amb Eeg LLC

  • Physiological Laboratory
  • Colleyville, TX
National Provider Identifier
1629584552
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
AMB EEG LLC
Practice address
1100 Glade Rd Ste 2
Colleyville, TX 76034-4227
Phone
(817) 343-8117
NPI assigned
Dec 14, 2017
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Robert Josh PierceNPI 1992241574
Title
Coo
Phone
(940) 765-8166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Specialist/Technologist 246ZE0500X
Electroneurodiagnostic Specialist/Technologist 246ZE0600X
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1100 Glade Rd Ste 2
Colleyville, TX 76034-4227

Mailing address

1100 Glade Rd Ste 2
Colleyville, TX 76034-4227
Phone (940) 765-8166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180404001098 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6204199219 Practice locations: Colleyville, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1629584552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 GLADE RD STE 2",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344227",
            "telephone_number": "940-765-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GLADE RD STE 2",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344227",
            "telephone_number": "817-343-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMB EEG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "940-765-8166"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.