Organization Active NPI

Progressive Neuro Diagnostics

  • Physiological Laboratory
  • Dallas, TX
National Provider Identifier
1780196576
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
PROGRESSIVE NEURO DIAGNOSTICS
Practice address
350 N Saint Paul St Apt 2114
Dallas, TX 75201-4220
Phone
(813) 367-6667
NPI assigned
Nov 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Authorized official

Name
Mr. Frank Parker Lee
Title
Ceo
Phone
(813) 367-6667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

350 N Saint Paul St Apt 2114
Dallas, TX 75201-4220

Mailing address

350 N Saint Paul St Apt 2114
Dallas, TX 75201-4220
Phone (813) 367-6667

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1780196576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N SAINT PAUL ST APT 2114",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014220",
            "telephone_number": "813-367-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N SAINT PAUL ST APT 2114",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014220",
            "telephone_number": "813-367-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE NEURO DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-367-6667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.