AMB EEG LLC (NPI# 1629584552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629584552 |
| Entity Type | Organization |
| Organization Name | AMB EEG LLC |
| Practice Address |
1100 Glade Rd Ste 2 Colleyville TX 76034-4227 |
| Practice Telephone | 8173438117 |
| Mailing Telephone | 8173438117 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | CHRISTOPHER PIERCE (OWNER) |
| Authorized Official Telephone | 8173438117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZE0500X |
Specialist/Technologist, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
1100 GLADE RD STE 2 |
| City | COLLEYVILLE |
| State | TX |
| Zip Code | 76034-4227 |
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|---|---|---|---|---|
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| Find all providers in zip 76034 | ||||
| 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 |
|---|---|---|---|---|
| 1295056612 | Physicians Data LLC | Physiological Laboratory | 221 W Mill Valley Dr, Colleyville, TX 76034-3672 | 2010-06-21 |
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| 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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| City | COLLEYVILLE |
| Zip Code | 76034 |
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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.