NPIMap

Organization Active NPI

MRI Centers of Texas, LLC - Fort Worth Central Series

  • Multi-Specialty Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1609312263
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MRI CENTERS OF TEXAS, LLC - FORT WORTH CENTRAL SERIES
Practice address
1000 Lipscomb St
Suite 100
Fort Worth, TX 76104-3180
Phone
(817) 226-1800
Fax
(817) 226-1802
NPI assigned
Jan 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Ardelle Archer
Title
Ceo
Phone
(214) 466-1054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1000 Lipscomb St
Suite 100
Fort Worth, TX 76104-3180

Mailing address

PO Box 224852
Dallas, TX 75222-4852
Phone (817) 226-1800

National Provider Directory

National Provider Directory

Locations

1000 Lipscomb St
Ste 100
Fort Worth, TX 76104
Phone (817) 529-7249

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1609312263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224852",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752224852",
            "telephone_number": "817-226-1800",
            "fax_number": "817-226-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LIPSCOMB ST",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043180",
            "telephone_number": "817-226-1800",
            "fax_number": "817-226-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRI CENTERS OF TEXAS, LLC - FORT WORTH CENTRAL SERIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "ARDELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-466-1054"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.