Active NPI
Genesis Mobile Logistics Inc
- Radiology Clinic/Center
- Farmers Branch, TX
National Provider Identifier
1669017703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- GENESIS MOBILE LOGISTICS INC
- Practice address
- 12000 Ford Rd Ste 180
Farmers Branch, TX 75234-7255 - Phone
- (469) 250-4657
- NPI assigned
- Nov 13, 2019
- 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
- Syed Naveed, MD
- Title
- Authorized Official
- Phone
- (630) 776-5027
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
12000 Ford Rd Ste 180
Farmers Branch, TX 75234-7255
Mailing address
12000 Ford Rd Ste 180
Farmers Branch, TX 75234-7255
Phone (469) 250-4657
National Provider Directory
National Provider Directory- Tax ID family
- Genesis Mobile Logistics Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Farmers Branch, TX
- NPI 1811543150
Locations
13988 Diplomat Dr
Ste 100D
Farmers Branch, TX 75234
Phone (855) 436-9729
12000 Ford Rd
Ste 180
Farmers Branch, TX 75234
Phone (469) 250-4657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661385600000",
"number": "1669017703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12000 FORD RD STE 180",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752347255",
"telephone_number": "469-250-4657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 FORD RD STE 180",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752347255",
"telephone_number": "469-250-4657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS MOBILE LOGISTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-13",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A",
"authorized_official_last_name": "NAVEED",
"authorized_official_first_name": "SYED",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "630-776-5027",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmers Branch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.