{
  "npi": "1285961201",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "RVT",
    "authorized_official_first_name": "WALLY",
    "authorized_official_last_name": "PRADO",
    "authorized_official_middle_name": "REYNALDO",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "9569949193",
    "authorized_official_title_or_position": "Administrative Director",
    "enumeration_date": "2009-11-12",
    "last_updated": "2011-02-25",
    "organization_name": "ACCURATE VASCULAR DIAGNOSTIC CENTER, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2000 S MCCOLL RD",
      "address_2": "SUITE B, PMB 163",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MCALLEN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "785031501",
      "state": "TX",
      "telephone_number": "956-994-9193"
    },
    {
      "address_1": "1801 S 5TH ST",
      "address_2": "SUITE 208",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MCALLEN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "785032927",
      "state": "TX",
      "telephone_number": "956-994-9193"
    }
  ],
  "taxonomies": [
    {
      "code": "293D00000X",
      "desc": "Physiological Laboratory",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": {
    "total_beneficiaries": "218",
    "total_services": "405",
    "total_medicare_allowed_amt": "55773.21",
    "top_hcpcs_services": [
      {
        "code": "93880",
        "description": "Ultrasound of both sides of head and neck blood flow",
        "services": "54",
        "beneficiaries": "51"
      },
      {
        "code": "93923",
        "description": "Complete ultrasound study of arm and leg arteries",
        "services": "98",
        "beneficiaries": "93"
      },
      {
        "code": "93925",
        "description": "Ultrasound of leg arteries or artery grafts",
        "services": "89",
        "beneficiaries": "86"
      },
      {
        "code": "93970",
        "description": "Ultrasound study of arm or leg veins with compression and maneuvers",
        "services": "84",
        "beneficiaries": "80"
      },
      {
        "code": "93971",
        "description": "Ultrasound study of one arm or leg veins with compression and maneuvers",
        "services": "49",
        "beneficiaries": "41"
      },
      {
        "code": "93978",
        "description": "Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts",
        "services": "12",
        "beneficiaries": "11"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Laboratories — Physiological Laboratory",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "47",
        "medicare_type": "Independent Diagnostic Testing Facility (IDTF)"
      }
    ]
  }
}