Principal Imaging Group, LLC

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

Legal business name

PRINCIPAL IMAGING GROUP, LLC

Practice address

1778 N Plano Rd
Ste 300
Richardson, TX 75081-1958

Phone

(972) 234-0004

NPI assigned

Oct 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Grady Lawson Hobbs

Title

VP Operations

Phone

(469) 682-6743

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154406098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108822",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731018822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 N PLANO RD",
            "address_2": "STE 300",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811958",
            "telephone_number": "972-234-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPAL IMAGING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "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": "VP OPERATIONS",
        "authorized_official_telephone_number": "469-682-6743",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.