Prime Diagnostic Imaging of Ennis, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PRIME DIAGNOSTIC IMAGING OF ENNIS, LLC

Practice address

1905 W Ennis Ave # 500
Ennis, TX 75119-3614

Phone

(214) 341-8770

Fax

(214) 341-1603

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Jamie Hellman

Title

Administrator

Phone

(214) 341-8770

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1992968168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W ENNIS AVE # 500",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751193614",
            "telephone_number": "214-341-8770",
            "fax_number": "214-341-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W ENNIS AVE # 500",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751193614",
            "telephone_number": "214-341-8770",
            "fax_number": "214-341-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME DIAGNOSTIC IMAGING OF ENNIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "HELLMAN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-341-8770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Christopher Pollard
• Preferred Care Health Facilities of Texas I Inc
• Premier Care Services of Ennis, LLC
• PRHC - Ennis LP
• PRHC Ennis LP
• Professional Lone Star Anesthesia Associates, P
• Fredric Clark Puckett, D.O.
• Lewis Alton Ragsdale, COTA
• Evette Marie Ramirez, DPT
• Sherri L Rankin, PT

• Radiology Clinic/Center in Ennis, TX
• Providers in Ennis, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.