Fort Worth I Enterprises, LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

FORT WORTH I ENTERPRISES, LLC

Doing business as

Healthy Images of Texas

Practice address

4150 International PLZ
Suite 624
Fort Worth, TX 76109-4892

Phone

(817) 349-4408

Fax

(817) 349-4409

NPI assigned

Sep 24, 2007

Last updated

Sep 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Blake

Title

Managing Member

Phone

(817) 832-3654

Specialties & licenses 1

Addresses

Other names 1

• Healthy Images of Texas Doing business as

Tax ID family

Fort Worth I Enterprises LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fort Worth I Enterprises, LLC Dba Healthy Images of Texas

  • Physiological Laboratory
  • Fort Worth, TX
  • NPI 1144411570
  NPD tax ID

Locations

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1891981783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ",
            "address_2": "SUITE 624",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094892",
            "telephone_number": "817-349-4408",
            "fax_number": "817-349-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ",
            "address_2": "SUITE 624",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094892",
            "telephone_number": "817-349-4408",
            "fax_number": "817-349-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH I ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-832-3654"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Images of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fort Worth Health Rejuvenation
• Fort Worth Health, LLC
• Fort Worth Healthcare Systems LLC
• Fort Worth Heart, P.a.
• Fort Worth HK Group Health, LLC
• Fort Worth I Enterprises, LLC Dba Healthy Images of Texas
• Fort Worth III Enterprises, LLC (Arlington Heights Health and Rehabilitation Center)
• Fort Worth Independent School District
• Fort Worth Independent School System
• Fort Worth Injury Rehabilitation Clinic

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.