MBC-IOM, LLC.


Address: 627 Ridgemont Dr, Allen, TX 75002-6100
Phone: 9726326877

MBC-IOM, LLC. (NPI# 1275911737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275911737
Entity Type Organization
Organization Name MBC-IOM, LLC.
Practice Address 627 Ridgemont Dr
Allen
TX 75002-6100
Practice Telephone 9726326877
Practice Fax Number 9723641249
Mailing Telephone 9726326877
Mailing Fax Number 9723641249
Enumeration Date 2015-05-15
Last Update Date 2015-05-15
Authorized Official Name MS. TONYA M GILLIAM (OWNER)
Authorized Official Telephone 9726326877
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2472E0500X Technician, Other
Specialization: EEG
Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 627 RIDGEMONT DR
City ALLEN
State TX
Zip Code 75002-6100

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Taxonomy Information

Taxonomy Code 2472E0500X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Other
Specialization EEG

Taxonomy Definition

Definition to come...

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Competitor

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City ALLEN
Zip Code 75002

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Dataset Information

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.

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