NPIMap

Organization Active NPI

Swdic Imaging Center Partnership, LLP

Doing business as Southwest Diagnostic Imaging Center

  • Radiology Clinic/Center
  • Dallas, TX
National Provider Identifier
1356347454
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
R18642 Issued in TX
Legal business name
SWDIC IMAGING CENTER PARTNERSHIP, LLP
Doing business as
Southwest Diagnostic Imaging Center
Practice address
8230 Walnut Hill LN
Suite 100
Dallas, TX 75231-4482
Phone
(214) 345-4141
Fax
(214) 345-2099
NPI assigned
Jun 23, 2005
Last updated
May 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Authorized official

Name
Philip Collins
Title
Director, Bus. SVCS
Phone
(214) 345-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X R18642 TX Primary

Addresses

Primary practice location

8230 Walnut Hill LN
Suite 100
Dallas, TX 75231-4482

Mailing address

8230 Walnut Hill LN
Suite 100
Dallas, TX 75231-4482
Phone (214) 345-6905

Other identifiers 5

IdentifierTypeStateIssuer
MDD0438OtherTXIDTF WORKERS COMP
470001463OtherTXRAILROAD MEDICARE
0019CCOtherTXIDTF BLUE CROSS OF TEXAS
141643001MedicaidTX
141643002MedicaidTX

Other names 1

  • Southwest Diagnostic Imaging Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040707001400 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2062319783 Practice locations: Dallas, TX
O20170925000276 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2062319783 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dallas, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7115 Greenville Ave
Ste 11
Dallas, TX 75231
Phone (214) 647-5491

8230 Walnut Hill Ln
Ste 102
Dallas, TX 75231
Phone (214) 345-2098

Practitioners & affiliated clinicians

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1356347454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314482",
            "telephone_number": "214-345-6905",
            "fax_number": "214-345-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314482",
            "telephone_number": "214-345-4141",
            "fax_number": "214-345-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWDIC IMAGING CENTER PARTNERSHIP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "DIRECTOR, BUS. SVCS",
        "authorized_official_telephone_number": "214-345-4141"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "R18642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDTF WORKERS COMP",
            "identifier": "MDD0438",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "470001463",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDTF BLUE CROSS OF TEXAS",
            "identifier": "0019CC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141643001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141643002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Diagnostic Imaging 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 May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.