NEULINE DIAGNOSTICS LLC (NPI# 1063076883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063076883 |
| Entity Type | Organization |
| Organization Name | NEULINE DIAGNOSTICS LLC |
| Practice Address |
1402 S Custer Rd Ste 302 Mckinney TX 75072-1452 |
| Mailing Address |
Po Box 6529 Mckinney TX 75071-5114 |
| Practice Telephone | 8442125321 |
| Practice Fax Number | 2145949559 |
| Mailing Telephone | 8442125321 |
| Mailing Fax Number | 2145949559 |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2020-07-17 |
| Authorized Official Name | MR. FRANK GRAY III (OWNER) |
| Authorized Official Telephone | 8442125321 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
1402 S CUSTER RD STE 302 |
| City | MCKINNEY |
| State | TX |
| Zip Code | 75072-1452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528507795 | Neuline Health Management LLC | Physiological Laboratory | 1402 S Custer Rd Ste 302, Mckinney, TX 75072-1452 | 2017-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386282283 | Comprehensive Aba Consultants LLC | Behavioral Analyst | 1402 S Custer Rd #601, Mckinney, TX 75072 | 2019-12-11 |
| 1487297230 | Alyson Neeley Pertuis | Counselor | 1402 Custer Rd. Suite 204, Mckinney, TX 75072 | 2019-10-24 |
| 1952955429 | Kelsey Jane Zellmer | Registered Nurse | 4704 North Meadow Ridge Cir, Mckinney, TX 75072 | 2019-08-01 |
| 1376741959 | Amelia C Gannaway | Speech-Language Pathologist | 9848 Meadow Rue Dr, Mckinney, TX 75072 | 2007-07-05 |
| 1912042805 | Allan O Cook Md Pa | Specialist | 5900 Berkshire Road, Mckinney, TX 75072 | 2007-02-20 |
| 1740763267 | Jennifer Bourgeois | Pharmacist | 6100 Eldorado Pkwy, Mckinney, TX 75072 | 2018-09-11 |
| 1679056212 | Lori Shelton | Pharmacist | 6100 Eldorado Pkwy, Mckinney, TX 75072 | 2018-09-10 |
| 1023402963 | Kevin Neal | Anesthesiology | 240 Adriatic Pkwy Ste 300, Mckinney, TX 75072-1209 | 2015-03-27 |
| 1356956783 | Yvonne Ann Fritz | Psychologist | 1402 S Custer Rd, Mckinney, TX 75072-1451 | 2020-09-11 |
| 1750667101 | Sonia Thomas Pillai | Nurse Practitioner | 1402 S Custer Rd Ste 202, Mckinney, TX 75072-1452 | 2011-10-31 |
| Find all providers in zip 75072 | ||||
| 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 |
|---|---|---|---|---|
| 1528507795 | Neuline Health Management LLC | Physiological Laboratory | 1402 S Custer Rd Ste 302, Mckinney, TX 75072-1452 | 2017-02-21 |
| 1215359401 | Health Imaging Partners LLC | Physiological Laboratory | 1800 N Lake Forest Drive, Suite 100, Mckinney, TX 75071 | 2014-01-08 |
| 1932547460 | Btdi Jv LLP | Physiological Laboratory | 5321 W University Dr, Mckinney, TX 75071-7824 | 2013-06-06 |
| 1306486394 | Brainwave Neurodiagnostics LLC | Physiological Laboratory | 4541 Medical Center Dr, Mckinney, TX 75069-1651 | 2020-01-08 |
| 1710487186 | Pratik LLC | Physiological Laboratory | 11717 Beckton St, Mckinney, TX 75071-6902 | 2018-02-13 |
| 1144423914 | Overnight Sleep Analysis, LLC | Physiological Laboratory | 2760 Virginia Pkwy Ste 200, Mckinney, TX 75071-4964 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952574 | Neurodiagnostics and Imaging LLC | Physiological Laboratory | 2024 W 15th St Ste F-352, Plano, TX 75075-7363 | 2020-11-04 |
| 1831798875 | Btdi Jv, LLP | Physiological Laboratory | 712 N Washington Ave Ste 102, Dallas, TX 75246-2604 | 2020-10-21 |
| 1194334144 | Sonji M Blanchard | Physiological Laboratory | 8553 N Beach St Ste 224, Fort Worth, TX 76244-4919 | 2020-07-27 |
| 1639797863 | Lab Testing Near Me LLC | Physiological Laboratory | 2706 Wind Point Ct, Tolar, TX 76476-5077 | 2020-07-14 |
| 1871121004 | St. Anthony's Diagnostic Pllc | Physiological Laboratory | 3931 Joe Ramsey Blvd E Ste A, Greenville, TX 75401-7777 | 2020-04-01 |
| 1033746540 | Enovatemed Solutions, LLC | Physiological Laboratory | 18006 Hillcrest Rd, Dallas, TX 75252-5862 | 2020-03-25 |
| 1437799913 | Valmar, Plc | Physiological Laboratory | 7905 Bentley Dr, North Richland Hills, TX 76182-7683 | 2020-01-13 |
| 1205475829 | Intraoperative Neuro Professionals | Physiological Laboratory | 25 Highland Park Vlg # 100-470, Dallas, TX 75205-2789 | 2019-12-30 |
| 1437797610 | Guard Healthcare Systems LLC | Physiological Laboratory | 2261 Brookhollow Plaza Dr Ste 307, Arlington, TX 76006-7430 | 2019-12-18 |
| 1932745940 | Magdouhealth LLC | Physiological Laboratory | 205 N Green St, Grand Saline, TX 75140-1829 | 2019-11-25 |
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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.