Organization Active NPI

Pediatric Imaging Associates LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Plano, TX
National Provider Identifier
1508256157
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
PEDIATRIC IMAGING ASSOCIATES LLC
Practice address
7211 Preston Rd Ste 1400
Plano, TX 75024-0240
Phone
(972) 248-0077
Fax
(972) 248-0081
NPI assigned
Feb 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Robert S Fries
Title
Chief Financial Officer
Phone
(214) 456-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary
Radiology Clinic/Center 261QR0200X

Addresses

Primary practice location

7211 Preston Rd Ste 1400
Plano, TX 75024-0240

Mailing address

PO Box 674194
Dallas, TX 75267-4194
Phone (469) 362-6909

Other names 1

  • Children's Health Imaging Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180823001720 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9638470859 Practice locations: Plano, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2145498Pediatric Imaging Associates LLC7211 Preston Rd Ste 1400, Plano, TX 75024Certificate of waiverMar 7, 2028

National Provider Directory

National Provider Directory

Locations

1935 Medical District Dr
#908
Dallas, TX 75235

7211 Preston Rd
Ste 1400
Plano, TX 75024
Phone (469) 303-9400

Practitioners & affiliated clinicians

Practitioners 11

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": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1508256157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674194",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674194",
            "telephone_number": "469-362-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 PRESTON RD STE 1400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240240",
            "telephone_number": "972-248-0077",
            "fax_number": "972-248-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC IMAGING ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "FRIES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "214-456-7000"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Health Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.