Active NPI
Imaging & Medical Diagnostic Specialists, P.a.
- Radiology Clinic/Center
- Arlington, TX
National Provider Identifier
1801897905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145359901 | Medicaid | TX |
Other names 1
- Central Imaging of Arlington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1095362 | Central Imaging of Arlington | Certificate of waiver | Feb 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Arlington, TX
- NPI 1679761787
-
- Specialist
- Dallas, TX
- NPI 1689730350
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"
}
]
}
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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.