SMR Diagnostics LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

R26791 Issued in TX

Legal business name

SMR DIAGNOSTICS LTD

Doing business as

One Source Diagnostic Imaging

Practice address

505 N Ridgeway Dr
Ste 252
Cleburne, TX 76033-5118

Phone

(817) 517-5665

Fax

(817) 556-3999

NPI assigned

Aug 30, 2006

Organization subpart

Yes

Parent organization

SMR DIAGNOSTICS LTDAs reported in NPPES

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

Authorized official

Name

Mary E Kiser

Title

Director of Operations

Phone

(817) 517-5665

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• One Source Diagnostic Imaging Doing business as

Part of

SMR Diagnostic LTD

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1912017401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N RIDGEWAY DR",
            "address_2": "STE 252",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335118",
            "telephone_number": "817-517-5665",
            "fax_number": "817-556-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N RIDGEWAY DR",
            "address_2": "STE 252",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335118",
            "telephone_number": "817-517-5665",
            "fax_number": "817-556-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMR DIAGNOSTICS LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMR DIAGNOSTICS LTD",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "KISER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "817-517-5665"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "R26791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "R26791",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150682601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Source Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesse Sias, LCSW
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• Charla Sperring, DO
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• Deanna W Starr, LCDC

• Specialist in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.