Medical Exercise Testing Service, Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MEDICAL EXERCISE TESTING SERVICE, INC.

Practice address

3700 Forums Dr
Suite 112
Flower Mound, TX 75028-1820

Phone

(972) 539-4427

Fax

(972) 874-2415

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Graham

Title

President, Ceo

Phone

(972) 539-4427

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710936919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 874",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774410874",
            "telephone_number": "281-346-0801",
            "fax_number": "281-346-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 FORUMS DR",
            "address_2": "SUITE 112",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281820",
            "telephone_number": "972-539-4427",
            "fax_number": "972-874-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EXERCISE TESTING SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "972-539-4427",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007260397",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HMO",
            "identifier": "8P0250",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "AS10466580001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "00000092LM",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.