{
  "npi": "1508541913",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "RN",
    "authorized_official_first_name": "ARMANI",
    "authorized_official_last_name": "GOODWIN",
    "authorized_official_telephone_number": "9546104005",
    "authorized_official_title_or_position": "Owner/Lab Director",
    "certification_date": "2023-07-10",
    "enumeration_date": "2023-06-21",
    "last_updated": "2023-07-10",
    "organization_name": "A GOOD MOBILE TESTING",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "A. GOODWIN BUSINESS GROUP",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "8110 CAROLINE RIDGE DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "HUMBLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "773961102",
      "state": "TX",
      "telephone_number": "954-610-4005"
    },
    {
      "address_1": "17350 STATE HIGHWAY 249 STE 200",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "HOUSTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "770641132",
      "state": "TX"
    }
  ],
  "taxonomies": [
    {
      "code": "251J00000X",
      "desc": "Nursing Care",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "305S00000X",
      "desc": "Point of Service",
      "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": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Point of Service",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}