Organization Active NPI

National Imaging Affiliates of San Angelo, LLC

Doing business as Healthsouth Diagnostic Center of San Angelo

  • Physiological Laboratory
  • San Angelo, TX
National Provider Identifier
1265481279
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
NATIONAL IMAGING AFFILIATES OF SAN ANGELO, LLC
Doing business as
Healthsouth Diagnostic Center of San Angelo
Practice address
4241 Southwest Blvd
Suite 107B
San Angelo, TX 76904-5687
Phone
(325) 224-8288
Fax
(325) 224-8293
NPI assigned
May 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Patsy Firesheets
Title
Credentialing Specialist
Phone
(205) 685-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

4241 Southwest Blvd
Suite 107B
San Angelo, TX 76904-5687

Mailing address

4241 Southwest Blvd
Suite 107B
San Angelo, TX 76904-5687
Phone (325) 224-8288

Other names 1

  • Healthsouth Diagnostic Center of San Angelo Doing business as

National Provider Directory

National Provider Directory

Locations

4241 Southwest Blvd
Ste 107B
San Angelo, TX 76904
Phone (915) 224-8288

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265481279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 SOUTHWEST BLVD",
            "address_2": "SUITE 107B",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045687",
            "telephone_number": "325-224-8288",
            "fax_number": "325-224-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 SOUTHWEST BLVD",
            "address_2": "SUITE 107B",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045687",
            "telephone_number": "325-224-8288",
            "fax_number": "325-224-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL IMAGING AFFILIATES OF SAN ANGELO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIRESHEETS",
        "authorized_official_first_name": "PATSY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "205-685-5141"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthsouth Diagnostic Center of San Angelo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Angelo, 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.