Organization Active NPI

Arlington Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Arlington, TX
National Provider Identifier
1063415008
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ARLINGTON MEDICAL IMAGING LLC
Practice address
3025 Matlock Rd
Ste 100
Arlington, TX 76015-2902
Phone
(817) 467-6099
Fax
(972) 739-1468
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Dr. Rajesh Gogia
Title
Owner
Phone
(214) 502-8157

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary
Physiological Laboratory 293D00000X

Addresses

Primary practice location

3025 Matlock Rd
Ste 100
Arlington, TX 76015-2902

Mailing address

2140 E Southlake Blvd
L-426
Southlake, TX 76092-6516
Phone (214) 502-8157

Other identifiers 2

IdentifierTypeStateIssuer
154830702MedicaidTX
361995901MedicaidTX

National Provider Directory

National Provider Directory

Locations

701 Highlander Blvd
Ste 105A
Arlington, TX 76015
Phone (817) 467-6099

2140 E Southlake Blvd
#L426
Southlake, TX 76092

2140 E Southlake Blvd
Ste L426
Southlake, TX 76092

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1063415008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 E SOUTHLAKE BLVD",
            "address_2": "L-426",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926516",
            "telephone_number": "214-502-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 MATLOCK RD",
            "address_2": "STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152902",
            "telephone_number": "817-467-6099",
            "fax_number": "972-739-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "GOGIA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-502-8157",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154830702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361995901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.