Active NPI
Pdi Health TX LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Dallas, TX
National Provider Identifier
1841814647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- PDI HEALTH TX LLC
- Practice address
- 14785 Preston Rd
Dallas, TX 75254-7876 - Phone
- (800) 749-9729
- NPI assigned
- Jun 8, 2020
- 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
- Menachem Tauber
- Title
- Ceo
- Phone
- (800) 749-9729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
14785 Preston Rd
Dallas, TX 75254-7876
Mailing address
12 Spencer St Ste 2
Brooklyn, NY 11205-1892
Phone (800) 749-9729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200630000488 | TX | Part B Supplier - Portable X-Ray Supplier | 6204258767 | Practice locations: Dallas, TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591574400000",
"number": "1841814647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 SPENCER ST STE 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051892",
"telephone_number": "800-749-9729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14785 PRESTON RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752547876",
"telephone_number": "800-749-9729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PDI HEALTH TX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-08",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A",
"authorized_official_last_name": "TAUBER",
"authorized_official_first_name": "MENACHEM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "800-749-9729"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.