Active NPI
Pediatric Imaging Associates LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Plano, TX
National Provider Identifier
1508256157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180823001720 | TX | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9638470859 | Practice locations: Plano, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2145498 | Pediatric Imaging Associates LLC | Certificate of waiver | Mar 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Radiology Physician
- Dallas, TX
- NPI 1063709558
-
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1104020296
-
- Pediatric Radiology Physician
- Dallas, TX
- NPI 1164656104
-
- Pediatric Radiology Physician
- Southlake, TX
- NPI 1992768626
-
- Pediatric Radiology Physician
- Dallas, TX
- NPI 1841301405
-
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1780815753
-
- Pediatric Radiology Physician
- Dallas, TX
- NPI 1639127210
-
- Pediatric Radiology Physician
- Dallas, TX
- NPI 1992955587
-
- Pediatric Radiology Physician
- Dallas, TX
- NPI 1881850097
-
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1255377354
-
- Pediatric Radiology Physician
- Cincinnati, OH
- NPI 1760642946
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
- Pediatric Associates of Plano, PLLC
- Pediatric Dental Services
- Pediatric Emergency Medicine Group LLP
- Pediatric Endocrinology of North Texas, PLLC
- Pediatric Hospital Physicians of North Texas, PA
- Pediatric Neuropsychological Services, PLLC
- Pediatric Offices at Willow Bend
- Pediatric Offices at Willow Bend Association
- Pediatric Ophthalmology PA
- Pediatric Ophthalmology Partners of Texas PLLC
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.