Kiom, LLC
Specialist/Technologist, Other (Electroneurodiagnostic)

Address: 1075 Griffin St W # 104, Dallas, TX 75215-1026
Phone: 9724125299

Kiom, LLC (NPI# 1558906222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1558906222
Entity Type Organization
Organization Name KIOM, LLC
Practice Address 1075 Griffin St W # 104
Dallas
TX 75215-1026
Practice Telephone 9724125299
Practice Fax Number 4694533374
Mailing Address 11625 Custer Rd Ste 110-154
Frisco
TX 75035-8783
Mailing Telephone 9724125299
Mailing Fax Number 4694533374
Authorized Official Name Gary Williams (SOLE MEMBER)
Authorized Official Telephone 7853412460
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-11-16
Last Update Date 2019-11-21

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 246ZE0600X Specialist/Technologist, Other · Electroneurodiagnostic Technologists, Technicians & Other Technical Service Providers
No 2472E0500X Technician, Other · EEG Technologists, Technicians & Other Technical Service Providers

Taxonomy Information

Taxonomy Code 246ZE0600X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Electroneurodiagnostic

Taxonomy Definition

Definition to come...

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1588039788 Douglas Yang Specialist/Technologist, Other 4849 Greenville Ave Ste 1125, Dallas, TX 75206-4155 2015-12-14
1003200544 Jamie Rebekah Pearson Specialist/Technologist, Other 6437 South Point Dr., Dallas, TX 75248 2015-03-23
1205228293 Samira Naim Specialist/Technologist, Other 3100 Monticello Ave Ste 210, Dallas, TX 75205-3442 2015-02-27
1639578123 Adam Martin Specialist/Technologist, Other 3001 Monticello, 210, Dallas, TX 75205 2014-08-20
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1508862087 Nathan Arthur Leventhal Specialist/Technologist, Other 25 Highland Park Vlg Ste 100-225, Dallas, TX 75205-2789 2005-06-21
1992348874 Gloria Eloise Darnley Specialist/Technologist, Other 17000 Preston Rd Ste 110, Dallas, TX 75248-1201 2019-10-23
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Office Location

Street Address 1075 GRIFFIN ST W # 104
City DALLAS
State TX
Zip Code 75215-1026

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Competitor

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City DALLAS
Zip Code 75215

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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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