Prime Diagnostic Imaging of Fort Worth, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

PRIME DIAGNOSTIC IMAGING OF FORT WORTH, LLC

Practice address

6491 Southwest Blvd.
Benbrook, TX 76132

Phone

(214) 341-8770

Fax

(214) 341-1603

NPI assigned

Sep 14, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Hellman

Title

Owner

Phone

(214) 341-8770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1790233294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821868",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753821868",
            "telephone_number": "214-341-8770",
            "fax_number": "214-341-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6491 SOUTHWEST BLVD.",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "214-341-8770",
            "fax_number": "214-341-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME DIAGNOSTIC IMAGING OF FORT WORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "HELLMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-341-8770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Rachelle Pitts, LPC
• Aislinn Pool
• Jeremy Lee Pope, DDS
• Prestige Diagnostics, LLC
• Prestige Imaging, LLC
• Olivia May Pringle
• Haley Quackenbush
• R. Danford Doss, DDS, Inc
• Ramakrishna Pemmaraju Rao MD
• Antonio Ramirez, RBT

• Magnetic Resonance Imaging (MRI) Clinic/Center in Benbrook, TX
• Providers in Benbrook, TX by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.