EDGE-MD HOLDING PLLC NPI 1497222343

NPI Information

  • NPI: 1497222343
  • Provider Name: EDGE-MD HOLDING PLLC
  • Classification: Physiological Laboratory - 293D00000X
  • Entity Type: Organization
  • Address: 1200 W WALNUT HILL LN STE 1300
    IRVING, TX
    ZIP 75038
  • Phone: (972) 514-1672

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NPI Details

EDGE-MD HOLDING PLLC is a physiological laboratory in Irving, TX. The provider is 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. EDGE-MD HOLDING PLLC NPI is 1497222343. The provider is registered as an organization entity type.

The provider's business location address is:

1200 W WALNUT HILL LN STE 1300
IRVING, TX
ZIP 75038-050
Phone: (972) 514-1672

The provider's authorized official is Andrea Carrillo .
The authorized official title is Manager and has the following contact phone number (512) 920-3107.

The enumeration date for this NPI number is 10/30/2018 and was last updated on 10/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1293D00000XPhysiological LaboratoryYes

What is NPI?

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This page was last updated on: 11/21/2025

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