G MEDICAL DIAGNOSTIC SERVICES, INC. (NPI# 1114948445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114948445 |
| Entity Type | Organization |
| Organization Name | G MEDICAL DIAGNOSTIC SERVICES, INC. |
| Other Organization Name | CARDIOSTAFF CORPORATION |
| Practice Address |
12708 Riata Vista Cir Ste A103 Austin TX 78727-7174 |
| Mailing Address |
Po Box 2153 Dept 1840 Birmingham AL 35287-1840 |
| Practice Telephone | 8005952898 |
| Practice Fax Number | 5122129490 |
| Mailing Telephone | 8005952898 |
| Mailing Fax Number | 8889657697 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-11-30 |
| Authorized Official Name | MR. TIM LOHMAN (DISTRIBUTION MANAGER) |
| Authorized Official Telephone | 5122125508 |
| 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 | BCBS TX | 0488DC | 01 |
| TX | 164090601 | 05 | |
| NE | 10025090400 | 05 |
| Other Name | Type Code |
|---|---|
| Cardiostaff Corporation | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | G MEDICAL DIAGNOSTIC SERVICES, INC | 12708 Riata Vista Cir Ste A103, Austin, TX 78727-7174 |
| Street Address |
12708 RIATA VISTA CIR STE A103 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78727-7174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953188 | Kassidy Lewis | Specialist/Technologist | 12708 Riata Vista Circle, A 106, Austin, TX 78727 | 2020-05-14 |
| 1922632405 | Little Light Aba, LLC | Behavioral Analyst | 6001 W Parmer Ln Ste 370 #3064, Austin, TX 78727 | 2020-02-24 |
| 1497239081 | Alison Laurie Cook | Speech-Language Pathologist | 13112 Kellies Farm Lane, Austin, TX 78727 | 2018-09-19 |
| 1326529371 | Excelsior Anesthesia Pllc | Anesthesiology | 12728 Council Bluff Dr, Austin, TX 78727 | 2018-08-28 |
| 1992227847 | Kathryn Ann Aldridge | Registered Nurse | 12608 Terra Nova Ln, Austin, TX 78727 | 2017-07-12 |
| 1912431404 | Harry Lundell | Counselor | 5404 Pony Chase, Austin, TX 78727 | 2017-04-12 |
| 1811364078 | Peoples Pharmacy | Pharmacy | 5505 W. Parmer Lane, Building 4, At Apple Wellness Center, Austin, TX 78727 | 2015-08-24 |
| 1346665080 | Emily Doubt Chiropractic Pllc | Chiropractor | 3951 W Parmer Ln Ste. 300, Austin, TX 78727 | 2014-03-04 |
| 1053689745 | Rahim & Karim, Inc | Durable Medical Equipment & Medical Supplies | 1914 W. Howard Lane, Suite C, Austin, TX 78727 | 2011-12-08 |
| 1538445937 | Thyroid Cytopathology Partners Pa | Pathology | 12357 A Riata Trace Parkway, Bldg. 5, Suite 100, Austin, TX 78727 | 2011-10-30 |
| Find all providers in zip 78727 | ||||
| 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 |
|---|---|---|---|---|
| 1649662305 | Btdi Jv, LLP | Physiological Laboratory | 15808 Rr 620 N, Suite 110, Austin, TX 78717-4922 | 2015-03-04 |
| 1821480583 | Btdi Jv, LLP | Physiological Laboratory | 11575 Jollyville Rd, Austin, TX 78759-4028 | 2015-03-04 |
| 1518209493 | Ace Cardiovascular Testing,llc | Physiological Laboratory | 13492 Research Blvd Ste 120-724, Austin, TX 78750-2252 | 2013-03-19 |
| 1417161134 | Austin Neurological Clinic | Physiological Laboratory | 711-f West 38th Street, Austin, TX 78705-1133 | 2007-05-10 |
| 1306845961 | Mobile X-ray of Austin Inc | Physiological Laboratory | 4131 Spicewood Springs Rd Ste N7, Austin, TX 78759-8664 | 2005-07-17 |
| 1376935031 | Btdi Jv, LLP | Physiological Laboratory | 4316 James Casey St, Suite E-1, Austin, TX 78745-1116 | 2015-03-04 |
| 1720470487 | Btdi Jv, LLP | Physiological Laboratory | 711 W 38th St, Suite B-7, Austin, TX 78705-1121 | 2015-03-04 |
| 1144575119 | Austin City Medical Ctr | Physiological Laboratory | 11149 Research Blvd, Suite 360, Austin, TX 78759-5279 | 2012-07-17 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.