NDL Dallas Mobile Holdings, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

NDL DALLAS MOBILE HOLDINGS, LLC

Doing business as

NeuroDiagnostic Labs

Practice address

9301 N Central Expy
Ste 585
Dallas, TX 75231-0806

Phone

(214) 363-3623

NPI assigned

Feb 7, 2013

Organization subpart

No

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

Authorized official

Name

Erica Boehle

Title

General Manager

Phone

(602) 424-4450

Specialties & licenses 1

Addresses

Other names 1

• NeuroDiagnostic Labs Doing business as

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1932448131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY",
            "address_2": "STE 585",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY",
            "address_2": "STE 585",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310806",
            "telephone_number": "214-363-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDL DALLAS MOBILE HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "BOEHLE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "602-424-4450"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroDiagnostic Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bilola Patricia Ndibuli
• Samuel K Ndinjiakat, PA-C
• Nadine Efeti Ndip, PHD, LP
• NDL Dallas Holdings, LLC (NeuroDiagnostic Labs)
• NDL Dallas Holdings, LLC (NeuroDiagnostic Labs)
• Urielle Ndri
• Chimeremeze Ndubuoke, MD
• Ijeoma Obianuju Nduka
• Nkechi Nduka, NP
• Chineme Ndukwe, NP

• 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 Feb 7, 2013; 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.