Organization Active NPI

Global Neuro-Diagnostics, LP

  • Physiological Laboratory
  • Lewisville, TX
National Provider Identifier
1700919446
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
GLOBAL NEURO-DIAGNOSTICS, LP
Practice address
1278 Justin Rd Ste 109
Lewisville, TX 75077-2200
Phone
(972) 998-1548
Fax
(877) 290-1544
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Steven Estes, REEGT
Title
Vice-President
Phone
(972) 998-1548

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0500X
Electroneurodiagnostic Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0600X
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1278 Justin Rd Ste 109
Lewisville, TX 75077-2200

Mailing address

1278 Justin Rd Ste 109
Lewisville, TX 75077-2200
Phone (972) 998-1548

Other identifiers 1

IdentifierTypeStateIssuer
2031502MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1700919446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 JUSTIN RD STE 109",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772200",
            "telephone_number": "972-998-1548",
            "fax_number": "877-290-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 JUSTIN RD STE 109",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772200",
            "telephone_number": "972-998-1548",
            "fax_number": "877-290-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL NEURO-DIAGNOSTICS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "972-998-1548",
        "authorized_official_credential": "REEGT"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.