Alliance Diagnostic Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ALLIANCE DIAGNOSTIC IMAGING LLC

Practice address

3160 N Tarrant Pkwy Ste 400
Fort Worth, TX 76177-8631

Phone

(214) 762-9084

NPI assigned

Jul 18, 2024

Last updated

Jul 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Prakash Krishnaraj

Title

Administrator

Phone

(214) 762-9084

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1649018011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 WARREN PKWY STE 102",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 N TARRANT PKWY STE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778631",
            "telephone_number": "214-762-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE DIAGNOSTIC IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "KRISHNARAJ",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-762-9084",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alliance Back & Neck Care Inc.
• Alliance Behavioral Health Services, LLC (Medical City Mental Health and Wellness Center - Alliance)
• Alliance Child & Family Solutions (ACFS Texas)
• Alliance Dental Care, PLLC
• Alliance Dental PLLC
• Alliance Group Health, LLC
• Alliance Health & Wellness Center PLLC
• Alliance Heritage Trace PLLC (Alliance Pediatrics)
• Alliance Kids Care
• Alliance Medical Weight Loss Clinic (Alliance Medical Spa)

• Diagnostic Radiology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.