ABILENE DIAGNOSTIC CLINIC, PLLC (NPI# 1356341184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356341184 |
| Entity Type | Organization |
| Organization Name | ABILENE DIAGNOSTIC CLINIC, PLLC |
| Other Organization Name | RADIOLOGIC IMAGING |
| Practice Address |
1665 Antilley Rd Suite 200 Abilene TX 79606-5265 |
| Mailing Address |
Po Box 5409 Abilene TX 79608-5409 |
| Practice Telephone | 3257935177 |
| Practice Fax Number | 3257935161 |
| Mailing Telephone | 3254378655 |
| Mailing Fax Number | 3254378647 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2019-10-14 |
| Authorized Official Name | ANDREW KOUBA (CEO/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3254378645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
R2280 | TX | Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Radiologic Imaging | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043725062 | Abilene Diagnostic Clinic, Pllc | Podiatrist | 1665 Antilley Rd Ste 210, Abilene, TX 79606-5276 | 2017-12-13 |
| 1013159854 | Abilene Diagnostic Clinic, Pllc | Podiatrist | 6250 Regional Plz Ste 1016, Abilene, TX 79606-5223 | 2009-03-25 |
| 1760482665 | Abilene Diagnostic Clinic, Pllc | Spec/Tech, Pathology | 1665 Antilley Rd Ste 190, Abilene, TX 79606-5249 | 2005-07-21 |
| 1346242567 | Abilene Diagnostic Clinic, Pllc | Specialist | 1665 Antilley Rd, # 200, Abilene, TX 79606-5265 | 2005-06-01 |
| 1912149758 | Abilene Diagnostic Clinic, Pllc | Podiatrist | 1665 Antilley Rd Ste 230, Abilene, TX 79606-5291 | 2009-03-25 |
| 1275780744 | Abilene Diagnostic Clinic, Pllc | Clinic/Center | 1665 Antilley Rd, Suite 120, Abilene, TX 79606-5265 | 2008-08-26 |
| 1497755235 | Abilene Diagnostic Clinic, Pllc | Specialist | 1665 Antilley Rd, Suite 200, Abilene, TX 79606-5265 | 2005-07-22 |
| Street Address |
1665 ANTILLEY RD SUITE 200 |
| City | ABILENE |
| State | TX |
| Zip Code | 79606-5265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346242567 | Abilene Diagnostic Clinic, Pllc | Specialist | 1665 Antilley Rd, # 200, Abilene, TX 79606-5265 | 2005-06-01 |
| 1801203203 | Sycamore Home Health Care LLC | Home Health | 1665 Antilley Rd, Suite 240, Abilene, TX 79606-5265 | 2014-07-17 |
| 1780090688 | Amber Taff | Nurse Practitioner | 1665 Antilley Rd, Suite 200, Abilene, TX 79606-5265 | 2014-07-11 |
| 1467863837 | Imperium Consulting, LLC | Clinical Nurse Specialist | 1665 Antilley Rd, 240, Abilene, TX 79606-5265 | 2014-05-19 |
| 1760893606 | Karen Szabo | Physician Assistant | 1665 Antilley Rd, Suite 180, Abilene, TX 79606-5265 | 2014-05-14 |
| 1366873671 | Jennifer Abney | Nurse Practitioner | 1665 Antilley Rd, Suite 150, Abilene, TX 79606-5265 | 2013-12-12 |
| 1992143325 | Monica Morris Smola | Nurse Practitioner | 1665 Antilley Rd, Suite 150, Abilene, TX 79606-5265 | 2013-06-07 |
| 1669816591 | Mark B. Reedy, M.d., Pllc | Obstetrics & Gynecology | 1665 Antilley Rd, Suite 250, Abilene, TX 79606-5265 | 2013-04-22 |
| 1114205408 | Integracare Hospice of Abilene, LLC | Hospice Care, Community Based | 1665 Antilley Rd, Ste 300, Abilene, TX 79606-5265 | 2011-08-03 |
| 1184919110 | Vincent Leonard Van Acht | Family Medicine | 1665 Antilley Rd, Suite 200, Abilene, TX 79606-5265 | 2011-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| Find all providers in zip 79606 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842980 | Brandi Bentley | Radiologic Technologist | 10605 Camillia Blossom Ln, Austin, TX 78748-3009 | 2020-05-14 |
| 1013480961 | Eclipse Massage Therapy | Radiologic Technologist | 4321 Center St., Deer Park, TX 77536 | 2019-01-03 |
| 1013484286 | Anissa Dusenberry | Radiologic Technologist | 8702 17th St, Lubbock, TX 79416-1930 | 2018-10-25 |
| 1538529946 | Christopher Smith | Radiologic Technologist | 3600 W Loop 250 N Apt 1059, Midland, TX 79707-3437 | 2016-02-26 |
| 1417222159 | Gina Bernal | Radiologic Technologist | 1022 Huey, Corpus Christi, TX 78418-1606 | 2012-03-13 |
| 1336476514 | Trey Colin Petty | Radiologic Technologist | 4508 37th St, Lubbock, TX 79414-2615 | 2009-11-10 |
| 1609031897 | Julio Morales Maldonado | Radiologic Technologist | 2403 Naomi St, Unit 12, Houston, TX 77054-4022 | 2008-07-28 |
| 1972763662 | Sergio Garcia | Radiologic Technologist | 618 W 12th St, Weslaco, TX 78596-7408 | 2008-06-16 |
| 1942460985 | Vanessa Kay Magness | Radiologic Technologist | 774 Airway Ave, Tyler, TX 75704-7806 | 2008-06-12 |
| 1598959355 | Kanu Kanu Nwankwo | Radiologic Technologist | 11311 Bayou Place Ln, Houston, TX 77099-4243 | 2007-09-04 |
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| 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.