Active NPI
Numed Imaging Centers Inc
- Nuclear Medicine Technology Radiologic Technologist
- Cleburne, TX
National Provider Identifier
1790767101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Technology Radiologic Technologist
- License
- L05762
- Legal business name
- NUMED IMAGING CENTERS INC
- Practice address
- 505 W Ridgeway
Suite 280
Cleburne, TX 76033 - Phone
- (817) 645-6856
- Fax
- (817) 645-7854
- NPI assigned
- Nov 19, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marsha L Harris
- Title
- Billing Coordinator/Network Manager
- Phone
- (940) 365-5700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Technology Radiologic Technologist | 2471N0900X | L05762 | TX | Primary |
Addresses
Primary practice location
505 W Ridgeway
Suite 280
Cleburne, TX 76033
Mailing address
PO Box 1098
Denton, TX 76202-1098
Phone (940) 365-5700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470000228 | Other | TX | RR MCR NUMBER |
| L05762 | Other | TX | RADIOACTIVE LICENSE |
| 0396DC | Other | TX | BCBS PROV.NUMBER |
| 087994201 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1790767101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1098",
"city": "DENTON",
"state": "TX",
"postal_code": "762021098",
"telephone_number": "940-365-5700",
"fax_number": "940-365-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 W RIDGEWAY",
"address_2": "SUITE 280",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "76033",
"telephone_number": "817-645-6856",
"fax_number": "817-645-7854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUMED IMAGING CENTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-19",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "MARSHA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BILLING COORDINATOR/NETWORK MANAGER",
"authorized_official_telephone_number": "940-365-5700"
},
"taxonomies": [
{
"code": "2471N0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Nuclear Medicine Technology",
"state": "TX",
"license": "L05762",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR NUMBER",
"identifier": "470000228",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RADIOACTIVE LICENSE",
"identifier": "L05762",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV.NUMBER",
"identifier": "0396DC",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "087994201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.