Maxum Health Services Corp

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MAXUM HEALTH SERVICES CORP

Doing business as

InSight Diag Forest Ln

Practice address

11617 N Central Expy
Mobile Unit
Dallas, TX 75243-3800

Phone

(214) 369-3795

NPI assigned

Apr 4, 2008

Organization subpart

Yes

Parent organization

MAXUM HEALTH SERVICES CORPAs reported in NPPES

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

Authorized official

Name

Brian G Drazba

Title

Senior VP & Chief Accounting Ofcr

Phone

(949) 282-6000

Specialties & licenses 1

Addresses

Other names 1

• InSight Diag Forest Ln Doing business as

Part of

Maxum Health SVCS Corp

Locations

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1760655294",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11617 N CENTRAL EXPY",
            "address_2": "MOBILE UNIT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433800",
            "telephone_number": "214-369-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXUM HEALTH SERVICES CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAXUM HEALTH SERVICES CORP",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "DRAZBA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SENIOR VP & CHIEF ACCOUNTING OFCR",
        "authorized_official_telephone_number": "949-282-6000"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InSight Diag Forest Ln",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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.
• David Roketha Maxwell, D.D.S.

• 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 Apr 4, 2008; 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.