Organization Active NPI

Professional Ultrasound Imaging, Inc.

  • Mobile Radiology Clinic/Center
  • Richardson, TX
National Provider Identifier
1760531958
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
PROFESSIONAL ULTRASOUND IMAGING, INC.
Practice address
3501 Token Dr
Suite 200
Richardson, TX 75082-9709
Phone
(817) 849-8700
Fax
(817) 849-8701
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Mr. Samuel Weinberg
Title
Vice President
Phone
(817) 849-8700

Specialties & licenses 1

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

Addresses

Primary practice location

3501 Token Dr
Suite 200
Richardson, TX 75082-9709

Mailing address

3501 Token Dr
Suite 200
Richardson, TX 75082-9709
Phone (817) 849-8700

Other identifiers 2

IdentifierTypeStateIssuer
1448342-01MedicaidTX
4241HMOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2921 Brown Trl
Ste 150
Bedford, TX 76021
Phone (817) 849-8700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1760531958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 TOKEN DR",
            "address_2": "SUITE 200",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750829709",
            "telephone_number": "817-849-8700",
            "fax_number": "817-849-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 TOKEN DR",
            "address_2": "SUITE 200",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750829709",
            "telephone_number": "817-849-8700",
            "fax_number": "817-849-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ULTRASOUND IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "817-849-8700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1448342-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4241HM",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.