Healthcare Provider Details

I. General information

NPI: 1750757415
Provider Name (Legal Business Name): RHYTHM EXPRESS IDTF LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2015
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 OLYMPUS BLVD STE 440
COPPELL TX
75019-2305
US

IV. Provider business mailing address

1265 GREY FOX RD STE 400
ARDEN HILLS MN
55112-6935
US

V. Phone/Fax

Practice location:
  • Phone: 469-899-9619
  • Fax:
Mailing address:
  • Phone: 651-661-7797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: BRIAN BROCKWAY
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 651-661-7797