Outsource Diagnostics LCC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

OUTSOURCE DIAGNOSTICS LCC

Practice address

5826 Esplanade Dr Ste 202
Corpus Christi, TX 78414-4198

Phone

(361) 288-1855

Fax

(361) 232-5695

NPI assigned

Aug 20, 2014

Organization subpart

No

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

Authorized official

Name

Holly Wagner

Title

Office/Billing Manager

Phone

(979) 266-9497

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1942609458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5826 ESPLANADE DR STE 202",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144198",
            "telephone_number": "361-288-1855",
            "fax_number": "361-232-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5826 ESPLANADE DR STE 202",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144198",
            "telephone_number": "361-288-1855",
            "fax_number": "361-232-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTSOURCE DIAGNOSTICS LCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OFFICE/BILLING MANAGER",
        "authorized_official_telephone_number": "979-266-9497"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikole R Otahal, PA-C
• Ann Marie Othold
• Melanie Ottenbacher, M.D.
• Bailey Alyssa Otter
• Charlotte Otto, M.S., L.P.C.-S.
• Sheri Ovalle
• Harry Leroy Overstreet II, DDS
• Elizabeth Ann Overton, LM, CPM
• Muhammad Owais, MD
• Aaron Owens, DT

• Sleep Disorder Diagnostic Clinic/Center in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Sleep Disorder Diagnostic Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.