Organization Active NPI

Lakewood Imaging Associates, LLC

  • Magnetic Resonance Imaging Radiologic Technologist
  • Dallas, TX
National Provider Identifier
1063553170
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
Legal business name
LAKEWOOD IMAGING ASSOCIATES, LLC
Practice address
5920 Forest Park Rd.
Ste 560
Dallas, TX 75235
Phone
(214) 350-0708
NPI assigned
Feb 9, 2007
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
Grady Lawson Hobbs
Title
Vice President
Phone
(469) 682-6743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471M1202X Primary

Addresses

Primary practice location

5920 Forest Park Rd.
Ste 560
Dallas, TX 75235

Mailing address

PO Box 268969
Oklahoma City, OK 73126-8969
Phone (972) 479-1115

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063553170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268969",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268969",
            "telephone_number": "972-479-1115",
            "fax_number": "972-479-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 FOREST PARK RD.",
            "address_2": "STE 560",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75235",
            "telephone_number": "214-350-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD IMAGING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "GRADY",
        "authorized_official_middle_name": "LAWSON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "469-682-6743"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, 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.