Southlake Radiology PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SOUTHLAKE RADIOLOGY PA

Practice address

707 Highlander Blvd
Arlington, TX 76015-4319

Phone

(214) 502-8517

Fax

(214) 242-2105

NPI assigned

Feb 16, 2010

Organization subpart

No

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

Authorized official

Name

Rajesh Gogia, MD

Title

Owner/Radiologist

Phone

(214) 502-8517

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manu M Bhattatiry, MD

  • Diagnostic Radiology Physician
  • Corpus Christi, TX
  • NPI 1013027598
  NPD (past)
• Amit Mittal, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1073723144
  NPD (past)
• Victor Ramon Rodriguez, M.D., M.S.

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1295982452
  NPD (past)

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1265754386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 TURNBERRY LN",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924214",
            "telephone_number": "214-502-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 HIGHLANDER BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154319",
            "telephone_number": "214-502-8517",
            "fax_number": "214-242-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAKE RADIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "GOGIA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "OWNER/RADIOLOGIST",
        "authorized_official_telephone_number": "214-502-8517",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.