Organization
COMPLETE MOBILE DIAGNOSTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDIC STEPHANIAN M.D. (PRESIDENT)
(972) 475-6683
Entity
Organization
Contact information
Practice address
4302 RUNNING BROOK DR, ROWLETT, TX 75088-9256
(972) 475-6683
Mailing address
4302 RUNNING BROOK DR, ROWLETT, TX 75088-9256
(972) 475-6683
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1837437-01
—
TX
Enumeration date
06/26/2006
Last updated
08/28/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us