Active NPI
Fort Worth I Enterprises, LLC Dba Healthy Images of Texas
- Physiological Laboratory
- Fort Worth, TX
National Provider Identifier
1144411570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- FORT WORTH I ENTERPRISES, LLC DBA HEALTHY IMAGES OF TEXAS
- Practice address
- 4150 International PLZ Ste 600
Fort Worth, TX 76109-4831 - Phone
- (512) 992-7712
- Fax
- (512) 262-0869
- NPI assigned
- Aug 9, 2007
- Last updated
- Aug 9, 2007
- 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
- Mr. Gary Blake
- Title
- President
- Phone
- (512) 992-7712
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | NU | Primary |
Addresses
Primary practice location
4150 International PLZ Ste 600
Fort Worth, TX 76109-4831
Mailing address
4150 International PLZ Ste 600
Fort Worth, TX 76109-4831
Phone (512) 992-7712
National Provider Directory
National Provider Directory- Tax ID family
- Fort Worth I Enterprises LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Healthy Images of Texas
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Fort Worth, TX
- NPI 1891981783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186617600000",
"number": "1144411570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 INTERNATIONAL PLZ STE 600",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094831",
"telephone_number": "512-992-7712",
"fax_number": "512-262-0869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 INTERNATIONAL PLZ STE 600",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094831",
"telephone_number": "512-992-7712",
"fax_number": "512-262-0869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT WORTH I ENTERPRISES, LLC DBA HEALTHY IMAGES OF TEXAS",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A",
"authorized_official_last_name": "BLAKE",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-992-7712",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
- Fort Worth Health, LLC
- Fort Worth Healthcare Systems LLC
- Fort Worth Heart, P.a.
- Fort Worth HK Group Health, LLC
- Fort Worth I Enterprises, LLC (Healthy Images of Texas)
- Fort Worth III Enterprises, LLC (Arlington Heights Health and Rehabilitation Center)
- Fort Worth Independent School District
- Fort Worth Independent School System
- Fort Worth Injury Rehabilitation Clinic
- Fort Worth Injury Solutions PLLC (Texas Injury Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.