MAXUM HEALTH SERVICES CORP (NPI# 1013974286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013974286 |
| Entity Type | Organization |
| Organization Name | MAXUM HEALTH SERVICES CORP |
| Other Organization Name | INSIGHT DIAG PRESTON |
| Practice Address |
17950 Preston Rd Ste 120 Dallas TX 75252-5793 |
| Mailing Address |
Po Box 848074 Dallas TX 75284-8074 |
| Practice Telephone | 9729317979 |
| Practice Fax Number | 9729315212 |
| Mailing Telephone | 9492826000 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2008-06-11 |
| Authorized Official Name | MR. BRIAN G DRAZBA (SENIOR V.P. & CHIEF ACCOUNTING OFCR) |
| Authorized Official Telephone | 9492826000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 130085706 | 05 | |
| TX | RAILROAD MEDICARE | 470000905 | 01 |
| Other Name | Type Code |
|---|---|
| InSight Diag Preston | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932166105 | Maxum Health Services Corp | Physiological Laboratory | 1199 8th Ave, Fort Worth, TX 76104-4102 | 2006-04-28 |
| 1750348926 | Maxum Health Services Corp | Physiological Laboratory | 11617 N Central Expy, Ste 132, Dallas, TX 75243-3800 | 2006-04-28 |
| 1760655294 | Maxum Health Services Corp | Physiological Laboratory | 11617 N Central Expy, Mobile Unit, Dallas, TX 75243-3800 | 2008-04-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MAXUM HEALTH SERVICES CORP. | 5775 Wayzata Blvd., Suite 400, St. Louis Park, Minnesota 55416 |
| Indiana Business Entities | MAXUM HEALTH SERVICES CORP. | 5775 Wayzata Blvd, Suite 400, St Louis Park, MN 55416 |
| Street Address |
17950 PRESTON RD STE 120 |
| City | DALLAS |
| State | TX |
| Zip Code | 75252-5793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538168166 | Fathi G Fam | Specialist | 17950 Preston Rd, Ste 210, Dallas, TX 75252-5793 | 2005-07-15 |
| 1275084618 | Doctor Greg Messner Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 17950 Preston Rd, Suite 120, Dallas, TX 75252-5793 | 2016-10-20 |
| 1336581610 | Cardiac and Vascular Physicians of Dallas, Inc | Internal Medicine | 17950 Preston Rd, Ste 120, Dallas, TX 75252-5793 | 2013-07-26 |
| 1871939124 | Iheart Care Practice Tx99, Pllc | Internal Medicine | 17950 Preston Rd, Suite 120, Dallas, TX 75252-5793 | 2013-05-14 |
| 1558608174 | Gregory Norman Messner. | Surgery | 17950 Preston Rd, Suite 120, Dallas, TX 75252-5793 | 2013-01-16 |
| 1952655607 | Iheart Cvm I, LLC | Clinic/Center | 17950 Preston Rd, Suite 120, Dallas, TX 75252-5793 | 2012-11-02 |
| 1396092904 | Iheart Cardiac & Vascular Imaging I, LLC | Clinic/Center | 17950 Preston Rd, Suite 120, Dallas, TX 75252-5793 | 2012-08-14 |
| 1336463074 | United Pain Care Pa | Anesthesiology | 17950 Preston Rd, Ste 120, Dallas, TX 75252-5793 | 2010-03-24 |
| 1730402876 | Ruby Home Health Care LLC | Home Health | 17950 Preston Rd, Suite 440, Dallas, TX 75252-5793 | 2010-03-03 |
| 1669596664 | Insight Health Corp | Physiological Laboratory | 17950 Preston Rd, Ste 120, Dallas, TX 75252-5793 | 2007-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457914681 | Lashaun Nicole Mwangi | Counselor | 17740 Preston Rd., Suite 100-b, Dallas, TX 75252 | 2019-04-14 |
| 1699244921 | Naomi Silva | Counselor | 18208 Preston Rd. Ste D9-466, Dallas, TX 75252 | 2018-11-15 |
| 1134601560 | Douglas Wayne Barnes | Counselor | 17762 Preston Rd Suite 108, Dallas, TX 75252 | 2018-09-01 |
| 1528548260 | Rhejes Healthcare Services LLC | In Home Supportive Care | 19019 Preston Rd Apt 710, Dallas, TX 75252 | 2018-08-21 |
| 1447759212 | Quadmed Medical Clinics of Texas, P.a. D/b/a Quadmed Medical Grou | Clinic/Center | 17655 Waterview Parkway, Dallas, TX 75252 | 2018-02-07 |
| 1114436862 | Steven Wade Martin | Chiropractor | 17330 Preston Rd., Suite 150a, Dallas, TX 75252 | 2017-09-26 |
| 1053766568 | Helix Health LLC | Clinical Medical Laboratory | 17218 Preston Road, Suite #4200, Dallas, TX 75252 | 2016-05-03 |
| 1144619511 | Bay Crest LLC | Home Health | 18208 Preston Rd Ste 151, Dallas, TX 75252 | 2015-01-22 |
| 1255720579 | Damion P Davis | Counselor | 17210 Campbell Rd, #200, Dallas, TX 75252 | 2015-01-12 |
| 1891109435 | Pediatric Home Healthcare, LLC | Home Health | 17950 Preston Rd # 370, Dallas, TX 75252 | 2014-06-11 |
| Find all providers in zip 75252 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798875 | Btdi Jv, LLP | Physiological Laboratory | 712 N Washington Ave Ste 102, Dallas, TX 75246-2604 | 2020-10-21 |
| 1033746540 | Enovatemed Solutions, LLC | Physiological Laboratory | 18006 Hillcrest Rd, Dallas, TX 75252-5862 | 2020-03-25 |
| 1205475829 | Intraoperative Neuro Professionals | Physiological Laboratory | 25 Highland Park Vlg # 100-470, Dallas, TX 75205-2789 | 2019-12-30 |
| 1881237568 | Mbb Management | Physiological Laboratory | 12700 Hillcrest Rd Ste 158, Dallas, TX 75230-2055 | 2019-10-24 |
| 1730738386 | Foj Neuro Diagnostics LLC | Physiological Laboratory | 13421 Tangleridge Ln, Dallas, TX 75240-5342 | 2019-09-06 |
| 1184283053 | Brainwave Diagnostic LLC | Physiological Laboratory | 7777 Forest Ln Ste B416, Dallas, TX 75230-2566 | 2019-06-13 |
| 1780196576 | Progressive Neuro Diagnostics | Physiological Laboratory | 350 N Saint Paul St Apt 2114, Dallas, TX 75201-4220 | 2017-11-01 |
| 1588981831 | Pro-tech-tive Neuromonitoring, LLC | Physiological Laboratory | 10114 Pinecrest Dr, Dallas, TX 75228-3257 | 2010-04-27 |
| 1144550369 | Health Imaging Partners LLC | Physiological Laboratory | 12201 Merit Dr Ste 100, Dallas, TX 75251-2122 | 2010-01-11 |
| 1144340258 | Digitrace Care Services Inc | Physiological Laboratory | 8700 N Stemmons Fwy, Suite 135, Dallas, TX 75247-3729 | 2007-03-30 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.