Organization Active NPI

MRI Group LP

  • Radiology Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1629148788
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MRI GROUP LP
Practice address
4400 Oak Park Lane
Ft Worth, TX 76109-9534
Phone
(817) 207-9600
Fax
(817) 207-9692
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles W Dillon
Title
Coo
Phone
(817) 207-9600

Specialties & licenses 1

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

Addresses

Primary practice location

4400 Oak Park Lane
Ft Worth, TX 76109-9534

Mailing address

4400 Oak Park Lane
Ft Worth, TX 76109-9534
Phone (817) 207-9600

Other identifiers 1

IdentifierTypeStateIssuer
1767063MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629148788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 OAK PARK LANE",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761099534",
            "telephone_number": "817-207-9600",
            "fax_number": "817-207-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 OAK PARK LANE",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761099534",
            "telephone_number": "817-207-9600",
            "fax_number": "817-207-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRI GROUP LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "817-207-9600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1767063",
            "state": "TX"
        }
    ],
    "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 Aug 22, 2020; 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.