Organization Active NPI

Imaging & Medical Diagnostic Specialists, P.a.

  • Radiology Clinic/Center
  • Arlington, TX
National Provider Identifier
1801897905
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
IMAGING & MEDICAL DIAGNOSTIC SPECIALISTS, P.A.
Doing business as
Central Imaging of Arlington
Practice address
3100 Matlock Rd Ste 105
Arlington, TX 76015-2900
Phone
(817) 543-2412
NPI assigned
Aug 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Dee L Dobbs
Title
Manager
Phone
(817) 306-0215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

3100 Matlock Rd Ste 105
Arlington, TX 76015-2900

Mailing address

PO Box 152409
Arlington, TX 76015-8409
Phone (817) 543-2412

Other identifiers 1

IdentifierTypeStateIssuer
145359901MedicaidTX

Other names 1

  • Central Imaging of Arlington Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041101001068 TX Part B Supplier - Clinic/Group Practice 5698737625 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1095362Central Imaging of Arlington3100 Matlock, Suite 105, Arlington, TX 76015Certificate of waiverFeb 5, 2027

National Provider Directory

National Provider Directory

Locations

1119 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-8267

3100 Matlock Rd
Ste 105
Arlington, TX 76015
Phone (817) 543-2412

Practitioners & affiliated clinicians

Practitioners 2

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": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1801897905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152409",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760158409",
            "telephone_number": "817-543-2412",
            "fax_number": "817-543-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MATLOCK RD STE 105",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152900",
            "telephone_number": "817-543-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING & MEDICAL DIAGNOSTIC SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "DOBBS",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-306-0215"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145359901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Imaging of Arlington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Imaging of Arlington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.