Organization Active NPI

Numed Imaging Centers Inc

  • Nuclear Medicine Technology Radiologic Technologist
  • Cleburne, TX
National Provider Identifier
1790767101
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X
License
L05762 Issued in TX
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

Updated by the provider on Aug 13, 2008

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)CodeLicenseStatePrimary
Nuclear Medicine Technology Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
470000228OtherTXRR MCR NUMBER
L05762OtherTXRADIOACTIVE LICENSE
0396DCOtherTXBCBS PROV.NUMBER
087994201MedicaidTX

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.