Proscan Medical Imaging LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PROSCAN MEDICAL IMAGING LLC

Doing business as

Eclipse Medical Imaging

Practice address

6805 NE Loop 820
Suite 407
North Richland Hills, TX 76180-6687

Phone

(817) 992-4866

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gail S Mayfield

Title

MBR

Phone

(817) 992-4866

Specialties & licenses 2

Addresses

Other names 1

• Eclipse Medical Imaging Doing business as

Locations

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1366630196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 NE LOOP 820",
            "address_2": "SUITE 407",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806687",
            "telephone_number": "817-992-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 NE LOOP 820",
            "address_2": "SUITE 407",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806687",
            "telephone_number": "817-992-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSCAN MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "817-992-4866",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eclipse Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Radiology Clinic/Center in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.