Organization Active NPI

Genesis Mobile Logistics Inc

  • Radiology Clinic/Center
  • Farmers Branch, TX
National Provider Identifier
1669017703
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
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

Updated by the provider on Aug 25, 2022

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)CodeLicenseStatePrimary
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.