Active NPI
Imperial Healthcare LLC
- Clinical Medical Laboratory
- Dallas, TX
National Provider Identifier
1962145292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- IMPERIAL HEALTHCARE LLC
- Practice address
- 9319 Lyndon B Johnson Fwy Ste 208C
Dallas, TX 75243-3453 - Phone
- (847) 858-6620
- NPI assigned
- Apr 14, 2022
- 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
- Syed Alikhan
- Title
- Ceo/Owner
- Phone
- (847) 858-6620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
9319 Lyndon B Johnson Fwy Ste 208C
Dallas, TX 75243-3453
Mailing address
9319 Lyndon B Johnson Fwy Ste 208C
Dallas, TX 75243-3453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230414000887 | TX | Part B Supplier - Independent Clinical Laboratory | 1951787050 | Practice locations: Frisco, TX |
National Provider Directory
National Provider Directory- Tax ID family
- Imperial Healthcare LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mobile Radiology Clinic/Center
- Dallas, TX
- NPI 1144978198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650844800000",
"number": "1962145292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9319 LYNDON B JOHNSON FWY STE 208C",
"city": "DALLAS",
"state": "TX",
"postal_code": "752433453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9319 LYNDON B JOHNSON FWY STE 208C",
"city": "DALLAS",
"state": "TX",
"postal_code": "752433453",
"telephone_number": "847-858-6620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPERIAL HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-14",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A",
"authorized_official_last_name": "ALIKHAN",
"authorized_official_first_name": "SYED",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "847-858-6620"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical 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 Apr 25, 2022; 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.