Organization Active NPI

Ez Mobile Diagnostic Services Management Inc

  • Radiology Clinic/Center
  • Plano, TX
National Provider Identifier
1609272236
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
EZ MOBILE DIAGNOSTIC SERVICES MANAGEMENT INC
Practice address
3401 Custer Rd
Ste 170
Plano, TX 75023-7599
Phone
(972) 975-7977
Fax
(214) 299-9329
NPI assigned
Nov 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Mr. Roma Agasyan
Title
Owner
Phone
(972) 975-7977

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Mobile Radiology Clinic/Center 261QR0208X

Addresses

Primary practice location

3401 Custer Rd
Ste 170
Plano, TX 75023-7599

Mailing address

3401 Custer Rd
Ste 170
Plano, TX 75023-7599
Phone (972) 975-7977

National Provider Directory

National Provider Directory

Locations

3401 Custer Rd
Ste 170
Plano, TX 75023
Phone (972) 975-7977

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1609272236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CUSTER RD",
            "address_2": "STE 170",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750237599",
            "telephone_number": "972-975-7977",
            "fax_number": "214-299-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CUSTER RD",
            "address_2": "STE 170",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750237599",
            "telephone_number": "972-975-7977",
            "fax_number": "214-299-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ MOBILE DIAGNOSTIC SERVICES MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "AGASYAN",
        "authorized_official_first_name": "ROMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-975-7977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 18, 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.

Verify at the official NPI Registry.