Active NPI
Diagnostic Acquisition, LLC
- Mobile Radiology Clinic/Center
- Abilene, TX
National Provider Identifier
1508978578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- DIAGNOSTIC ACQUISITION, LLC
- Practice address
- 4800 S Treadaway Blvd
Abilene, TX 79602-7814 - Phone
- (325) 692-6988
- Fax
- (325) 692-6483
- NPI assigned
- Aug 31, 2006
- 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. Charles L Butler
- Title
- Owner
- Phone
- (214) 432-8058
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
4800 S Treadaway Blvd
Abilene, TX 79602-7814
Mailing address
PO Box 2757
Abilene, TX 79604-2757
Phone (325) 692-6988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902561 | Medicaid | TX |
Other names 1
- DIAGNOSTIC MANAGEMENT GROUP
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207612800000",
"number": "1508978578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2757",
"city": "ABILENE",
"state": "TX",
"postal_code": "796042757",
"telephone_number": "325-692-6988",
"fax_number": "325-692-6483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 S TREADAWAY BLVD",
"city": "ABILENE",
"state": "TX",
"postal_code": "796027814",
"telephone_number": "325-692-6988",
"fax_number": "325-692-6483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAGNOSTIC ACQUISITION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2008-04-08",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-432-8058",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902561",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DIAGNOSTIC MANAGEMENT GROUP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.