Active NPI
Reliance Imaging LLC
- Vascular Sonography Radiologic Technologist
- Addison, TX
National Provider Identifier
1245400159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Sonography Radiologic Technologist
- License
- 103974
- Legal business name
- RELIANCE IMAGING LLC
- Practice address
- 4337 Lindbergh Dr
Addison, TX 75001-4539 - Phone
- (972) 224-1329
- Fax
- (205) 847-5262
- NPI assigned
- Mar 6, 2008
- 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
- Sai K Ravi, RVT, RDMS, RDCS
- Title
- Owner/Administrator
- Phone
- (972) 224-1329
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 103974 | TX | |
| Vascular Sonography Radiologic Technologist | 2471V0105X | 103974 | TX | Primary |
Addresses
Primary practice location
4337 Lindbergh Dr
Addison, TX 75001-4539
Mailing address
2101 Shannon Oxmoor Rd # 67
Shannon, AL 35142-2000
Phone (888) 212-4243
Other practice location 1
1666 N Hampton Rd
Ste 104
DeSoto, TX 75115-2390
Phone (214) 550-0644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110427000409 | TX | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8426233925 | Practice locations: Addison, TX |
National Provider Directory
National Provider DirectoryLocations
1666 N Hampton Rd
Ste 104
Desoto, TX 75115
Phone (214) 550-0644
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sonography Radiologic Technologist
- Desoto, TX
- NPI 1992975809
-
- Diagnostic Radiology Physician
- Arlington, TX
- NPI 1275525594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614729600000",
"number": "1245400159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 SHANNON OXMOOR RD # 67",
"city": "SHANNON",
"state": "AL",
"postal_code": "351422000",
"telephone_number": "888-212-4243",
"fax_number": "205-847-5262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4337 LINDBERGH DR",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014539",
"telephone_number": "972-224-1329",
"fax_number": "205-847-5262"
}
],
"practiceLocations": [
{
"address_1": "1666 N Hampton Rd",
"address_2": "Ste 104",
"address_purpose": "LOCATION",
"city": "DeSoto",
"state": "TX",
"postal_code": "751152390",
"country_code": "US",
"telephone_number": "214-550-0644",
"fax_number": "214-666-9862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RELIANCE IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-06",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A",
"authorized_official_last_name": "RAVI",
"authorized_official_first_name": "SAI",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "972-224-1329",
"authorized_official_credential": "RVT, RDMS, RDCS"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": "TX",
"license": "103974",
"primary": false
},
{
"code": "2471V0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": "TX",
"license": "103974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.