Prime Diagnostic Imaging of Irving, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

R39509 Issued in TX

Legal business name

PRIME DIAGNOSTIC IMAGING OF IRVING, LLC

Practice address

2210 Paddock Way
Grand Prairie, TX 75050

Phone

(214) 341-8770

NPI assigned

Dec 19, 2016

Last updated

Feb 3, 2017By 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

Jamie L Hellman

Title

Admin

Phone

(214) 341-8770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1164966651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821868",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753821868",
            "telephone_number": "214-341-8770",
            "fax_number": "214-341-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 PADDOCK WAY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75050",
            "telephone_number": "214-341-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME DIAGNOSTIC IMAGING OF IRVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "HELLMAN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "214-341-8770"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "R39509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.