Active NPI
Ellis County Imaging, LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Waxahachie, TX
National Provider Identifier
1073166161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- ELLIS COUNTY IMAGING, LLC
- Practice address
- 101 Executive CT Ste 100a
Waxahachie, TX 75165-1973 - Phone
- (214) 903-7445
- Fax
- (972) 807-6223
- NPI assigned
- Jul 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Leavitt
- Title
- Ceo
- Phone
- (972) 979-1300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | |||
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | Primary |
Addresses
Primary practice location
101 Executive CT Ste 100a
Waxahachie, TX 75165-1973
Mailing address
2452 US Highway 80 E
Mesquite, TX 75149-1201
Phone (214) 221-2700
National Provider Directory
National Provider DirectoryLocations
2452 US Highway 80 E
Mesquite, TX 75149
101 Executive Ct
Waxahachie, TX 75165
Phone (972) 923-9214
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Forensic Pathology Physician
- Mesquite, TX
- NPI 1851619290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663718400000",
"number": "1073166161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2452 US HIGHWAY 80 E",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751491201",
"telephone_number": "214-221-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 EXECUTIVE CT STE 100A",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751651973",
"telephone_number": "214-903-7445",
"fax_number": "972-807-6223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLIS COUNTY IMAGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-18",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A",
"authorized_official_last_name": "LEAVITT",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "972-979-1300"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waxahachie, TX
- Ellis County Coalition for Health Options
- Ellis County Coalition for Health Options
- Ellis County Family Dentistry PLLC
- Ellis County Hearing Clinic
- Ellis County Home Medical Equipment, LLC
- Ellis County Optical, Inc.
- Ellis County Surgical Associates
- Ellis County Surgical Associates PA
- Ellis Emergency Physicians PLLC
- Ellis Surgical Pavilion, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.