Trail Blazer Diagnostics

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

TRAIL BLAZER DIAGNOSTICS

Practice address

221 W Colorado Blvd
#925
Dallas, TX 75208-2363

Phone

(281) 395-4121

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Sharon Martin

Title

V.P. of Operations

Phone

(281) 395-4121

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336271097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 N FRY RD",
            "address_2": "#335",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774493347",
            "telephone_number": "281-395-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD",
            "address_2": "#925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082363",
            "telephone_number": "281-395-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAIL BLAZER DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "V.P. OF OPERATIONS",
        "authorized_official_telephone_number": "281-395-4121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Tracy, MS, RD, LD, CNSC
• Trademark DME, LLC
• Sue Lynn Trafton, M.D.
• Evan Arthur Trahan, MD
• Kathy Copeland Trahan, MD
• Amy Trail, M.S., CCC-SLP
• Training Health Physical Therapy LLC
• Briana Tramel
• Rachel Trammell
• Lisa Thi Tran-Laurent, ACNPC-AG

• Mobile Radiology Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Mobile Radiology Clinic/Center in Texas

• 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.