Organization Active NPI

Clinical Radiology & Imaging Associates

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1376557710
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E0872 Issued in TX
Legal business name
CLINICAL RADIOLOGY & IMAGING ASSOCIATES
Practice address
10216 Garland Rd
Suite B
Dallas, TX 75218-2921
Phone
(214) 321-2800
Fax
(214) 321-2872
NPI assigned
Jul 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Veena B Daulat, M.D.
Title
Ceo
Phone
(214) 321-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X E0872 TX Primary

Addresses

Primary practice location

10216 Garland Rd
Suite B
Dallas, TX 75218-2921

Mailing address

10216 Garland Rd
Suite B
Dallas, TX 75218-2921
Phone (214) 321-2800

Other identifiers 1

IdentifierTypeStateIssuer
P000R42P2MedicaidTX

Other names 1

  • V.A. hospital of dallas. Other name

National Provider Directory

National Provider Directory

Locations

10216 Garland Rd
Ste B
Dallas, TX 75218
Phone (214) 321-2800

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376557710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10216 GARLAND RD",
            "address_2": "SUITE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182921",
            "telephone_number": "214-321-2800",
            "fax_number": "214-321-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10216 GARLAND RD",
            "address_2": "SUITE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182921",
            "telephone_number": "214-321-2800",
            "fax_number": "214-321-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL RADIOLOGY & IMAGING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAULAT",
        "authorized_official_first_name": "VEENA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-321-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "E0872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000R42P2",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "V.A. hospital of dallas.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 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.