Organization Active NPI

Select CV Imaging, LLC

  • Sonography Specialist/Technologist Cardiovascular
  • Garland, TX
National Provider Identifier
1457591737
Registry record updated Aug 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
Legal business name
SELECT CV IMAGING, LLC
Practice address
614 Green Apple Dr
Garland, TX 75044-2562
Phone
(972) 468-8155
Fax
(801) 807-1556
NPI assigned
Feb 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2009

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

Authorized official

Name
Mr. Shibu Mathew Mathew, PA-CNPI 1790893816
Title
President
Phone
(972) 468-8155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246XS1301X Primary

Addresses

Primary practice location

614 Green Apple Dr
Garland, TX 75044-2562

Mailing address

614 Green Apple Dr
Garland, TX 75044-2562
Phone (972) 468-8155

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249171200000",
    "number": "1457591737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 GREEN APPLE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442562",
            "telephone_number": "972-468-8155",
            "fax_number": "801-807-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 GREEN APPLE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442562",
            "telephone_number": "972-468-8155",
            "fax_number": "801-807-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT CV IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-08-02",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SHIBU",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-468-8155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2009; 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.