Organization Active NPI

Clearsky MRI & Diagnostic Imaging Center of N. Dallas

Doing business as North Dallas Diagnostic Center

  • Radiology Clinic/Center
  • Dallas, TX
National Provider Identifier
1265439939
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
CLEARSKY MRI & DIAGNOSTIC IMAGING CENTER OF N. DALLAS
Doing business as
North Dallas Diagnostic Center
Practice address
12606 Greenville Ave
Suite 110
Dallas, TX 75243-1921
Phone
(972) 669-3100
Fax
(972) 669-3101
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Karin Cannon, N/A
Title
Business Manager
Phone
(972) 669-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

12606 Greenville Ave
Suite 110
Dallas, TX 75243-1921

Mailing address

PO Box 742225
Dallas, TX 75374-2225
Phone (972) 669-3100

Other names 1

  • North Dallas Diagnostic Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265439939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753742225",
            "telephone_number": "972-669-3100",
            "fax_number": "972-669-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431921",
            "telephone_number": "972-669-3100",
            "fax_number": "972-669-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARSKY MRI & DIAGNOSTIC IMAGING CENTER OF N. DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "972-669-3100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Dallas Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • 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.