Active NPI
Medical Diagnostic Imaging Group, LTD.
- Diagnostic Radiology Physician
- Plano, TX
National Provider Identifier
1487996310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MEDICAL DIAGNOSTIC IMAGING GROUP, LTD.
- Practice address
- 4809 Pyramid Dr
Plano, TX 75093-1913 - Phone
- (602) 242-2584
- NPI assigned
- Mar 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Barry Sadegi, MD
- Title
- President
- Phone
- (602) 246-2584
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
4809 Pyramid Dr
Plano, TX 75093-1913
Mailing address
PO Box 97641
Las Vegas, NV 89193-7641
Phone (855) 613-5393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079138 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404259200000",
"number": "1487996310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 97641",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891937641",
"telephone_number": "855-613-5393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4809 PYRAMID DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750931913",
"telephone_number": "602-242-2584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL DIAGNOSTIC IMAGING GROUP, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-18",
"last_updated": "2014-07-02",
"status": "A",
"authorized_official_last_name": "SADEGI",
"authorized_official_first_name": "BARRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-246-2584",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079138",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
- Medi-Lynx Cardiac Monitoring LLC
- Medi-Lynx Monitoring Inc.
- Medical Associates of Plano, P.a.
- Medical Center of McKinney
- Medical Clinic of North Texas, PLLC (USMD Physician Services)
- Medical Edge Healthcare Group PA
- Medical Edge Healthcare Group PA (Prestonwood Imaging Center)
- Medical Edge Healthcare Group PA (Foot and Ankle Care Texas)
- Medical Edge Healthcare Group PA (Prestonwood Imaging Center)
- Medical Health Services PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.