Organization Active NPI

Parkhill Imaging LLC

  • Radiology Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1396362836
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
PARKHILL IMAGING LLC
Practice address
5656 Edwards Ranch Rd Ste 100
Fort Worth, TX 76109-4136
Phone
(972) 338-9760
Fax
(972) 338-9762
NPI assigned
Jul 1, 2020
Last updated
Mar 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Glen R. Wyant, M.D.
Title
President
Phone
(214) 714-8603

Specialties & licenses 1

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

Addresses

Primary practice location

5656 Edwards Ranch Rd Ste 100
Fort Worth, TX 76109-4136

Mailing address

3206 4TH St
Longview, TX 75605-5143
Phone (903) 663-4800

National Provider Directory

National Provider Directory

Locations

5656 Edwards Ranch Rd
Ste 100
Fort Worth, TX 76109
Phone (972) 338-9760

5668 Edwards Ranch Rd
Ste 100
Fort Worth, TX 76109
Phone (817) 701-1100

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1396362836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055143",
            "telephone_number": "903-663-4800",
            "fax_number": "903-663-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 EDWARDS RANCH RD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094136",
            "telephone_number": "972-338-9760",
            "fax_number": "972-338-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKHILL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "WYANT",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-714-8603",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.