Premier Diagnostic Imaging Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PREMIER DIAGNOSTIC IMAGING INC

Doing business as

Premier Diagnostic Imaging Inc

Practice address

850 Tower Dr Ste 111
Odessa, TX 79761-4252

Phone

(432) 888-4886

NPI assigned

Jun 15, 2022

Last updated

May 7, 2024By 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

Mrs. Natausha GlidwellNPI 1134847312

Title

Owner

Phone

(432) 438-1322

Specialties & licenses 1

Addresses

Other names 1

• PREMIER DIAGNOSTIC IMAGING INC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• James E Maher III, M.D.

  • Maternal & Fetal Medicine Physician
  • Mobile, AL
  • NPI 1396717211

  TX

  Medicare reassignment NPD
• Natausha Glidwell

  • Diagnostic Ultrasound Physician
  • Odessa, TX
  • NPI 1134847312
  NPD Authorized official

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1063142750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 TOWER DR STE 111",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614252",
            "telephone_number": "432-438-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 TOWER DR STE 111",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614252",
            "telephone_number": "432-888-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIAGNOSTIC IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "GLIDWELL",
        "authorized_official_first_name": "NATAUSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-438-1322",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jbtxwest1@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "address_1": "850 Tower Dr Ste 111",
            "city": "Odessa",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797614252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PREMIER DIAGNOSTIC IMAGING INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suresh Prasad, MD
• Prasanna K Athyala (Permian Clinical Laboratory)
• Zachariah Fred Prather, DC
• Precious Smiles Dentistry, PC
• Prema L. Vindhya, M.D., P. a.
• Premise Health of Texas Medical PA (Ector Co - Odessa)
• John W Presley, CRNA
• Prevarian Al Odessa Operations (The Courtyards Assisted Living and Memory Care)
• Logan Price
• Rebekah Ann Priddy

• Obstetrics & Gynecology Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.