Organization Active NPI

Clearsky MRI & Diagnostic at Denton

  • Physiological Laboratory
  • Denton, TX
National Provider Identifier
1861541047
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
CLEARSKY MRI & DIAGNOSTIC AT DENTON
Practice address
3118 Las Colinas Dr
Denton, TX 76207-3422
Phone
(940) 387-1500
Fax
(940) 566-1841
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Mr. Jackson Jacob
Title
General Manager
Phone
(214) 328-3333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

3118 Las Colinas Dr
Denton, TX 76207-3422

Mailing address

PO Box 814230
Dallas, TX 75381-4230
Phone (214) 328-3333

Other identifiers 1

IdentifierTypeStateIssuer
0383DCOtherTXBLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1861541047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 814230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753814230",
            "telephone_number": "214-328-3333",
            "fax_number": "214-328-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 LAS COLINAS DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762073422",
            "telephone_number": "940-387-1500",
            "fax_number": "940-566-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARSKY MRI & DIAGNOSTIC AT DENTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "214-328-3333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0383DC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.