LYLE J. BLAYLOCK CNIM – NPI #1740393974
Specialist/Technologist, Other

LYLE BLAYLOCK is a technologist located in RICHARDSON, TX. NPPES has assigned the NPI number 1740393974 to LYLE BLAYLOCK on August 15, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246ZE0600X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Electroneurodiagnostic

The NPI profile was previously updated about 7 years ago on Sep 03, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LYLE BLAYLOCK below.

NPI Profile for
LYLE J. BLAYLOCK

NPI Number
1740393974
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LYLE J. BLAYLOCK
Credentials
CNIM
Primary location
1819 JAY ELL DR
RICHARDSON, TX 75081-1837
Phone: (888) 344-2947 Fax: (888) 694-2947
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246ZE0600X
- Specialist/Technologist, Other / Electroneurodiagnostic (Primary)
TX 1336

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.