NPIMap

Organization Active NPI

Avalon Diagnostics LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Sherman, TX
National Provider Identifier
1740458298
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
AVALON DIAGNOSTICS LLC
Practice address
2009 Independence Dr
Suite 103
Sherman, TX 75090-0215
Phone
(903) 892-6496
Fax
(903) 892-6368
NPI assigned
Feb 19, 2008
Last updated
Nov 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Chandra McKenzie
Title
Ower/Director
Phone
(903) 892-6496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X TX Primary

Addresses

Primary practice location

2009 Independence Dr
Suite 103
Sherman, TX 75090-0215

Mailing address

2009 Independence Dr
Suite 103
Sherman, TX 75090-0215
Phone (903) 892-6496

Other identifiers 1

IdentifierTypeStateIssuer
FTS188OtherTXMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

2009 Independence Dr
Ste 103
Sherman, TX 75090
Phone (903) 892-6496

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1740458298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 INDEPENDENCE DR",
            "address_2": "SUITE 103",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750900215",
            "telephone_number": "903-892-6496",
            "fax_number": "903-892-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 INDEPENDENCE DR",
            "address_2": "SUITE 103",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750900215",
            "telephone_number": "903-892-6496",
            "fax_number": "903-892-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "OWER/DIRECTOR",
        "authorized_official_telephone_number": "903-892-6496"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FTS188",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.