Glennhollow Medical Imaging LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

GLENNHOLLOW MEDICAL IMAGING LLC

Practice address

3060 Communications Pkwy
Suite 103
Plano, TX 75093-8449

Phone

(972) 312-9944

Fax

(972) 312-9962

NPI assigned

Mar 25, 2013

Organization subpart

No

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

Authorized official

Name

Phillip Clifford Jr.

Title

Owner

Phone

(214) 793-7309

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1174865539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY",
            "address_2": "SUITE 103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938449",
            "telephone_number": "972-312-9944",
            "fax_number": "972-312-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY",
            "address_2": "SUITE 103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938449",
            "telephone_number": "972-312-9944",
            "fax_number": "972-312-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENNHOLLOW MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-793-7309",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Markus Glass, PA-C
• Nancy Patricia Glaze, CCC/SLP
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• Khara Glick, SLP-A
• Robert Allen Glick, D.O.
• Geoffrey Glynn Glidden, MD
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• Radiology Clinic/Center in Plano, TX
• Providers in Plano, 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 Mar 25, 2013; 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.