Active NPI
Freedom Diagnostic Services LLC
- Sleep Disorder Diagnostic Clinic/Center
- Lewisville, TX
National Provider Identifier
1861410896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090708000681 | TX | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 6305859182 | Practice locations: Lewisville, TX |
National Provider Directory
National Provider DirectoryLocations
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.