Illume Diagnostic Imaging LLC

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

Legal business name

ILLUME DIAGNOSTIC IMAGING LLC

Practice address

2600 8TH Ave
Fort Worth, TX 76110-3054

Phone

(817) 233-3505

NPI assigned

Mar 27, 2026

Organization subpart

No

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

Authorized official

Name

Renuka Shah

Title

Billing Specialist

Phone

(817) 455-5755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1821937368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6514 FANNIN FARM WAY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015802",
            "telephone_number": "817-233-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103054",
            "telephone_number": "817-233-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUME DIAGNOSTIC IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RENUKA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "817-455-5755"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiologic Technologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Radiologic Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.