Organization Active NPI

Ellis County Imaging, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Waxahachie, TX
National Provider Identifier
1073166161
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
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

Updated by the provider on Sep 21, 2022

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.