Cleburne Imaging, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

CLEBURNE IMAGING, LLC

Practice address

106 Hyde Park Blvd
Suite 200
Cleburne, TX 76033-4537

Phone

(817) 558-1940

Fax

(817) 558-1960

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Matt H Purser

Title

President

Phone

(469) 916-8894

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Prestige Imaging, LLC Former legal business name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Texas Health Harris Methodist Hospital Cleburne

  • General Acute Care Hospital
  • Cleburne, TX
  • NPI 1396778064

  Member Of

  NPD member

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1568498491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HYDE PARK",
            "address_2": "SUITE 200",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334537",
            "telephone_number": "817-558-1940",
            "fax_number": "817-558-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HYDE PARK BLVD",
            "address_2": "SUITE 200",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334537",
            "telephone_number": "817-558-1940",
            "fax_number": "817-558-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEBURNE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "PURSER",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-916-8894"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175352703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00305755",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Imaging, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cleburne Drug Inc
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• Cleburne Health Care LLC
• Cleburne Integrated Wellness PA
• Cleburne Internal Medicine Associates, PA
• Cleburne Interventional Pain & Surgery, LLC
• Cleburne Interventional Pain Procedure Center LLC
• Cleburne Isd

• Magnetic Resonance Imaging (MRI) Clinic/Center in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.