Physiotech Diagnostic Services LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

PHYSIOTECH DIAGNOSTIC SERVICES LLC

Practice address

4111 Houghton CT
Sugar Land, TX 77479-3959

Phone

(281) 731-6092

Fax

(281) 957-5609

NPI assigned

Feb 3, 2012

Last updated

Feb 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Virendrakumar C Desai, M.A, PH.D., LPC

Title

Ceo

Phone

(281) 731-6092

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1740552900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 HOUGHTON CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793959",
            "telephone_number": "281-731-6092",
            "fax_number": "281-957-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 HOUGHTON CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793959",
            "telephone_number": "281-731-6092",
            "fax_number": "281-957-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTECH DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "VIRENDRAKUMAR",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-731-6092",
        "authorized_official_credential": "M.A, PH.D., LPC"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.