Maxum Health Services Corp

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MAXUM HEALTH SERVICES CORP

Doing business as

InSight Diagnostics Center - Forest Lane

Practice address

11617 N Central Expy
Ste 132
Dallas, TX 75243-3800

Phone

(214) 369-3795

Fax

(214) 692-7953

NPI assigned

Apr 28, 2006

Organization subpart

No

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

Authorized official

Name

James F. Stanley

Title

Chief Financial Officer; Treasurer

Phone

(949) 282-6000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• InSight Diagnostics Center - Forest Lane Doing business as

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1750348926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848074",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848074",
            "telephone_number": "949-282-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11617 N CENTRAL EXPY",
            "address_2": "STE 132",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433800",
            "telephone_number": "214-369-3795",
            "fax_number": "214-692-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXUM HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER; TREASURER",
        "authorized_official_telephone_number": "949-282-6000"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "470000639",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130085706",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InSight Diagnostics Center - Forest Lane",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maxim Medical Supplies LLC
• Maxim Mossman DDS, PLLC
• Maximacare LLC
• Stephanie Lynn Maxson, MS, RD, LD
• Maxum Health Services Corp
• Maxum Health Services Corp
• Kristen Annette Maxvill, PHARM.D., BCPS
• Autumn Maxwell
• Christine Elizabeth Maxwell
• Daniel Maxwell, M.D.

• Physiological Laboratory in Dallas, TX
• Providers in Dallas, 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 20, 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.