Ambulant Imaging LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

AMBULANT IMAGING LLC

Doing business as

Ambulant Imaging

Practice address

1338 Juniper LN
Lewisville, TX 75077-2838

Phone

(214) 989-5583

NPI assigned

Feb 28, 2023

Last updated

Feb 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald Bouldin, RT(R)NPI 1760188908

Title

Manager

Phone

(214) 989-5583

Specialties & licenses 1

Addresses

Other names 1

• Ambulant Imaging Doing business as

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.

• Donald Bouldin, RT

  • Mobile Radiology Clinic/Center
  • Lewisville, TX
  • NPI 1760188908

  Radiology, Mobile

  NPD Authorized official

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1023717923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 JUNIPER LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772838",
            "telephone_number": "121-498-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 JUNIPER LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772838",
            "telephone_number": "214-989-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULANT IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "BOULDIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-989-5583",
        "authorized_official_credential": "RT(R)"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulant Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mobile Radiology Clinic/Center in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Mobile Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.