Nucardio Imaging, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

13410 Issued in TX

Legal business name

NUCARDIO IMAGING, INC

Practice address

800 8TH Ave
Suite 406
Fort Worth, TX 76104-2601

Phone

(817) 688-8849

Fax

(817) 688-8849

NPI assigned

Dec 20, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Charles Homer Faust, MS, ARRT

Title

President / Nuclear Medicine Techno

Phone

(817) 688-8849

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Louis Lee, MD

  • Family Medicine Physician
  • Granbury, TX
  • NPI 1366537482
  NPD (past)

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

{
    "created_epoch": "1229731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229731200000",
    "number": "1962648063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 SUNDANCE CIR",
            "city": "JOSHUA",
            "state": "TX",
            "postal_code": "760584545",
            "telephone_number": "817-688-8849",
            "fax_number": "817-556-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE",
            "address_2": "SUITE 406",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042601",
            "telephone_number": "817-688-8849",
            "fax_number": "817-688-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCARDIO IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-20",
        "last_updated": "2008-12-20",
        "status": "A",
        "authorized_official_last_name": "FAUST",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HOMER",
        "authorized_official_title_or_position": "PRESIDENT / NUCLEAR MEDICINE TECHNO",
        "authorized_official_telephone_number": "817-688-8849",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, ARRT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "13410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NTX Billing Services LLC
• NTX Intraop SVCS VI, LLC
• NTX Pathology Program, PLLC
• NTX Pathology Program, PLLC
• Jennifer Colleen Nua, BSN, RN
• John Ryan Nuckols, DNP CRNA
• Lori N Nuebel, LCSW
• Sara Elizabeth Nuechterlein, MED, LAT, ATC
• Nugenerex PTX2 LLC
• Emma Easom Nugent, FNP

• Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.