Imagin Etc Inc.

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

IMAGIN ETC INC.

Practice address

655 S Great Southwest Pkwy
Grand Prairie, TX 75051-1068

Phone

(214) 688-8717

Fax

(972) 988-9807

NPI assigned

Jun 13, 2011

Organization subpart

No

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

Authorized official

Name

Jack Gray Jr.

Title

Business Manager

Phone

(972) 988-9800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1245525799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 MEDICAL ROW",
            "address_2": "SUITE 102",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511070",
            "telephone_number": "214-688-8717",
            "fax_number": "972-988-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S GREAT SOUTHWEST PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511068",
            "telephone_number": "214-688-8717",
            "fax_number": "972-988-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGIN ETC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "972-988-9800",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.