Active NPI
North Texas Imaging Hampton Center II LTD
- Physiological Laboratory
- Dallas, TX
National Provider Identifier
1003921644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- NORTH TEXAS IMAGING HAMPTON CENTER II LTD
- Practice address
- 2301 S Hampton Rd Ste 100
Dallas, TX 75224-1653 - Phone
- (214) 333-3600
- Fax
- (214) 333-0300
- NPI assigned
- Aug 21, 2006
- Last updated
- Jun 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Yvette D Martinez
- Title
- Chief Executive Officer
- Phone
- (214) 941-8908
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
2301 S Hampton Rd Ste 100
Dallas, TX 75224-1653
Mailing address
904 N Ewing Ave
Dallas, TX 75203-1163
Phone (214) 941-8908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163073301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070220000856 | TX | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8426150558 | Practice locations: Dallas, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0714141 | Wellmed at Hampton | Certificate of waiver | May 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
2301 S Hampton Rd
Ste 100
Dallas, TX 75224
Phone (214) 333-3600
904 N Ewing Ave
Dallas, TX 75203
Phone (214) 941-8901
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1437158581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718150400000",
"number": "1003921644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 N EWING AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031163",
"telephone_number": "214-941-8908",
"fax_number": "214-941-8903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 S HAMPTON RD STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752241653",
"telephone_number": "214-333-3600",
"fax_number": "214-333-0300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH TEXAS IMAGING HAMPTON CENTER II LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "YVETTE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "214-941-8908",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163073301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- North Texas Healthcare System/Dallas
- North Texas Heart Center PA
- North Texas Heart Surgery Center, PLLC
- North Texas Heritage Dental PLLC
- North Texas Imaging Center
- North Texas Infectious Disaeases Consultants, PA
- North Texas Infectious Diseases Consultants
- North Texas Infusion and Specialty Pharmacy, L.L.C.
- North Texas Inpatient and Geriatric Associates PA (NTIGA Infusion)
- North Texas Inpatient and Geriatric Associates PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.