Liberty Iom LLC
NPI 1093450975 · Electrodiagnostic Medicine Physician · Ft Worth, TX
Liberty Iom LLC is a Electrodiagnostic Medicine Physician organization in Ft Worth, TX (NPI 1093450975).
Provider details
- NPI number
- 1093450975
- Entity type
- Organization
- Primary specialty
- Electrodiagnostic Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gina Sullivan, Practice Administrator(903) 259-0550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-05-04
- Last updated
- 2022-05-04
- Certified
- 2022-05-04
Frequently asked questions
- What is Liberty Iom LLC's NPI number?
- Liberty Iom LLC's National Provider Identifier (NPI) is 1093450975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Liberty Iom LLC?
- Liberty Iom LLC is classified in the NPPES registry as Electrodiagnostic Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Liberty Iom LLC located?
- Liberty Iom LLC's practice location on file with NPPES is 111 Boland St Ste 211, Ft Worth, TX 76107-1265.
- What is Liberty Iom LLC's phone number?
- The practice phone number listed in the NPPES registry for Liberty Iom LLC is (817) 529-8488.
- Who is the authorized official for Liberty Iom LLC?
- The authorized official listed on Liberty Iom LLC's NPPES record is Gina Sullivan, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Liberty Iom LLC's NPI active?
- Yes — Liberty Iom LLC's NPI (1093450975) is active in the NPPES registry as of the last update on 2022-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.