Organization Active NPI

Myhealth Rapid Diagnostic LLC

  • Clinical Medical Laboratory
  • Mountain Home, AR
National Provider Identifier
1639825565
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MYHEALTH RAPID DIAGNOSTIC LLC
Practice address
19 Medical PLZ
Mountain Home, AR 72653-2918
Phone
(870) 580-0283
NPI assigned
Mar 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Dr. Daniel B Decker, MD
Title
Owner/Manager
Phone
(336) 721-1487

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

19 Medical PLZ
Mountain Home, AR 72653-2918

Mailing address

501 Hospital Dr
Mountain Home, AR 72653-2912
Phone (870) 580-0283

Other identifiers 1

IdentifierTypeStateIssuer
188791001MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL myhealthrapiddiagnostics.com Direct

National Provider Directory

National Provider Directory

Locations

501 Hospital Dr
Mountain Home, AR 72653
Phone (870) 580-0158

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1639825565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HOSPITAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532912",
            "telephone_number": "870-580-0283",
            "fax_number": "870-580-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MEDICAL PLZ",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532918",
            "telephone_number": "870-580-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYHEALTH RAPID DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "336-721-1487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188791001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "myhealthrapiddiagnostics.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19 Medical Plz",
            "city": "Mountain Home",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726532918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.