NPI Code Detail JSON Logo

1376218396 NPI number — MOBILE EEG TESTING INC

NPI Number: 1376218396
Health Care Provider/Practitioner: MOBILE EEG TESTING INC

Information about “1376218396” NPI (MOBILE EEG TESTING INC) exists in 1376218396 in HTML format HTML  |  1376218396 in plain Text format TXT  |  1376218396 in PDF (Portable Document Format) PDF  |  1376218396 in an XML format XML  formats.

NPI Number : 1376218396 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376218396",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MOBILE EEG TESTING INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4101 W GREEN OAKS BLVD STE 305",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARLINGTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76016-6800",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "800-323-1771",
    "MailingAddressFaxNumber": "817-483-4068",
    "FirstLinePracticeLocationAddress": "1420 N COOPER ST STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARLINGTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76011-8530",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-323-1771",
    "PracticeLocationAddressFaxNumber": "817-483-4068",
    "EnumerationDate": "08/11/2021",
    "LastUpdateDate": "12/16/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DARVISHY",
    "AuthorizedOfficialFirstName": "MAHNAZ",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "817-405-7582",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QS1200X",
          "TaxonomyName": "Sleep Disorder Diagnostic Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QR0200X",
          "TaxonomyName": "Radiology Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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