Organization Active NPI

Tyler Radiology Associates

  • Radiologic Technologist
  • Tyler, TX
National Provider Identifier
1003981465
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
TYLER RADIOLOGY ASSOCIATES
Practice address
3200 Troup Hwy Ste 340
Tyler, TX 75701-8343
Phone
(903) 534-3700
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Janice Leonard
Title
Manager
Phone
(903) 594-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X Primary

Addresses

Primary practice location

3200 Troup Hwy Ste 340
Tyler, TX 75701-8343

Mailing address

3200 Troup Hwy Ste 340
Tyler, TX 75701-8343
Phone (903) 534-3700

Other identifiers 1

IdentifierTypeStateIssuer
K00006916OtherTXCHAMPUS ID

Other names 1

  • Emphysis Doing business as

National Provider Directory

National Provider Directory

Locations

3200 Troup Hwy
Ste 340
Tyler, TX 75701
Phone (903) 534-3700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003981465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 TROUP HWY STE 340",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018343",
            "telephone_number": "903-534-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 TROUP HWY STE 340",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018343",
            "telephone_number": "903-534-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER RADIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-594-3700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS ID",
            "identifier": "K00006916",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emphysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.