NPIMap

Organization Active NPI

Envision Diagnostic Ultrasound Imaging

  • Radiology Clinic/Center
  • Grand Prairie, TX
National Provider Identifier
1306039078
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ENVISION DIAGNOSTIC ULTRASOUND IMAGING
Doing business as
Envision Diagnostic Ultrasound Imaging
Practice address
3125 S Carrier Pkwy
Suite a
Grand Prairie, TX 75052-3735
Phone
(972) 262-9000
Fax
(972) 262-9306
NPI assigned
Aug 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Luther Houston
Title
Ceo
Phone
(214) 951-5151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Mobile Radiology Clinic/Center 261QR0208X

Addresses

Primary practice location

3125 S Carrier Pkwy
Suite a
Grand Prairie, TX 75052-3735

Mailing address

PO Box 542767
Grand Prairie, TX 75054-2767
Phone (214) 951-5151

Other names 1

  • Envision Diagnostic Ultrasound Imaging Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Envision Diagnostic Ultrasound2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3125 S Carrier Pkwy
Ste A
Grand Prairie, TX 75052
Phone (469) 269-4986

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1306039078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542767",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750542767",
            "telephone_number": "214-951-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 S CARRIER PKWY",
            "address_2": "SUITE A",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523735",
            "telephone_number": "972-262-9000",
            "fax_number": "972-262-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION DIAGNOSTIC ULTRASOUND IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "LUTHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-951-5151"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Diagnostic Ultrasound Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.