Organization Active NPI

Freedom Diagnostic Services LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Lewisville, TX
National Provider Identifier
1861410896
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
FREEDOM DIAGNOSTIC SERVICES LLC
Practice address
1288 W Main St
#200
Lewisville, TX 75067-3420
Phone
(972) 221-1212
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Mrs. Kristen M Bell
Title
President
Phone
(972) 221-1212

Specialties & licenses 1

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

Addresses

Primary practice location

1288 W Main St
#200
Lewisville, TX 75067-3420

Mailing address

1288 W Main St
#200
Lewisville, TX 75067-3420
Phone (972) 221-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090708000681 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6305859182 Practice locations: Lewisville, TX

National Provider Directory

National Provider Directory

Locations

580 W Lingleville Rd
Ste A
Stephenville, TX 76401
Phone (254) 918-0222

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1861410896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 W MAIN ST",
            "address_2": "#200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673420",
            "telephone_number": "972-221-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 W MAIN ST",
            "address_2": "#200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673420",
            "telephone_number": "972-221-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-221-1212",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.