PRIME DIAGNOSTIC IMAGING OF IRVING, LLC (NPI# 1164966651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164966651 |
| Entity Type | Organization |
| Organization Name | PRIME DIAGNOSTIC IMAGING OF IRVING, LLC |
| Practice Address |
2210 Paddock Way Grand Prairie TX 75050 |
| Mailing Address |
Po Box 821868 Dallas TX 75382-1868 |
| Practice Telephone | 2143418770 |
| Mailing Telephone | 2143418770 |
| Mailing Fax Number | 2143411603 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2017-02-03 |
| Authorized Official Name | JAMIE L HELLMAN (ADMIN) |
| Authorized Official Telephone | 2143418770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
R39509 | TX | Ambulatory Health Care Facilities |
| Street Address |
2210 PADDOCK WAY |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539695 | Christopher Bachman | Physical Therapy Assistant | 2045 Hwy 360, #100b, Grand Prarie, TX 75050 | 2018-02-21 |
| 1003335233 | L & B Group Home LLC | In Home Supportive Care | 605 E Palace Pkwy Ste, B4, Grand Prairie, TX 75050 | 2017-09-19 |
| 1073054748 | Smileeasy Dental Grand Prairie, Pllc | Dentist | 2650 S Hwy 161, Grand Prairie, TX 75050 | 2017-03-15 |
| 1366801037 | Monica Simpson | Counselor | 2080 N Hwy 360, Ste 430, Grand Prairie, TX 75050 | 2016-02-23 |
| 1437545845 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1000 Post and Paddock Street, #305, Grand Prairie, TX 75050 | 2015-04-13 |
| 1912304593 | Tenishia Chintankwa | Non-emergency Medical Transport (VAN) | 2403 Doreen St, Grand Prairie, TX 75050 | 2014-11-26 |
| 1780023192 | Holland Surgical Group | Physician Assistant | 201 West Tarrant Rd. #1420, Grand Prairie, TX 75050 | 2013-06-19 |
| 1174962823 | Occumed Plus-grand Prairie | General Practice | 805 W. North Carrier Pkwy, 260, Grand Prairie, TX 75050 | 2013-06-17 |
| 1497099618 | Sorai Susanne S Stuart | Counselor | 2825 N. State Hwy 360, 710, Grand Prairie, TX 75050 | 2012-11-15 |
| 1952602179 | Happy Feet Therapeutic, LLC | Durable Medical Equipment & Medical Supplies | 605 E. Main St, Grand Prairie, TX 75050 | 2010-11-04 |
| Find all providers in zip 75050 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528309135 | Baylor Medical Center At Irving | Clinic/Center | 2740 N State Highway 360, Suite 200, Grand Prairie, TX 75050-6403 | 2013-03-06 |
| 1982872214 | Metro Imaging Center, LLC | Clinic/Center | 655 S Great Southwest Pkwy, Grand Prairie, TX 75051-1000 | 2008-02-20 |
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|---|---|---|---|---|
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| 1275144750 | Midland Imaging Center, LLC | Clinic/Center | 2106 N. Midland Dr., Ste 101, Midland, TX 79707-5503 | 2020-08-10 |
| 1134738453 | Origin Mri and Diagnostics | Clinic/Center | 9135 Katy Fwy Ste 102, Houston, TX 77024-1636 | 2020-07-23 |
| 1538777123 | Lexington Medical Imaging, LLC | Clinic/Center | 15925 Lexington Blvd, Sugar Land, TX 77479-2314 | 2020-07-20 |
| 1871101899 | Blue Star Imaging Sa, LLC | Clinic/Center | 112 Herff Rd, Boerne, TX 78006-2747 | 2020-07-15 |
| 1396362836 | Parkhill Imaging Clearfork LLC | Clinic/Center | 5656 Edwards Ranch Rd Ste 100, Fort Worth, TX 76109-4136 | 2020-07-01 |
| 1891319083 | Parkhill Imaging Addison LLC | Clinic/Center | 17051 Dallas Pkwy Ste 200, Addison, TX 75001-7119 | 2020-06-03 |
| 1669093779 | Hi Tech Imaging, LLC | Clinic/Center | 423 Sw Military Dr, San Antonio, TX 78221-1654 | 2020-04-29 |
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1740814029 | Venus Mri & Women's Center, LLC | Clinic/Center | 24721 Tomball Pkwy Ste 150, Tomball, TX 77375-7727 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75050 |
Please comment or provide details below to improve the information on PRIME DIAGNOSTIC IMAGING OF IRVING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.