PEDIATRIC IMAGING ASSOCIATES LLC (NPI# 1508256157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508256157 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC IMAGING ASSOCIATES LLC |
| Practice Address |
17051 Dallas Pkwy Suite 200 Addison TX 75001 |
| Mailing Address |
Po Box 674194 Dallas TX 75267-4194 |
| Practice Telephone | 9722480077 |
| Practice Fax Number | 9722480081 |
| Mailing Telephone | 4693626909 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2018-07-03 |
| Authorized Official Name | PETE PERIALAS (PRESIDENT) |
| Authorized Official Telephone | 2144568339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7211 Preston Road, Suite 1400, Plano, TX 75024 | 9722480077 | 9722480081 |
| Street Address |
17051 DALLAS PKWY SUITE 200 |
| City | ADDISON |
| State | TX |
| Zip Code | 75001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598722654 | Andrew Eunkoo Park | Orthopaedic Surgery | 17051 Dallas Pkwy, Suite 400, Addison, TX 75001-7109 | 2006-05-01 |
| 1346774858 | Superior Anesthesia Management, LLC. | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2017-04-12 |
| 1790229581 | Gb Anesthesia Management | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-12-13 |
| 1164974424 | Cottonwood Anesthesia Management, LLC | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-11-02 |
| 1457808859 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 17051 Dallas Pkwy, Suite 440, Addison, TX 75001 | 2016-09-02 |
| 1174976377 | Highland Anesthia Management, LLC | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-07-22 |
| 1265885453 | Scarlet Anesthesia Management, LLC | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-07-22 |
| 1972951341 | Hawk Anesthesia Management, LLC | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-05-26 |
| 1073976684 | Glenwood Anesthesia Management | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-03-31 |
| 1093178816 | Somnium Dme | Durable Medical Equipment & Medical Supplies | 17051 Dallas Pkwy, Addison, TX 75001-7109 | 2016-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143772 | Naomi Grace Moats | Speech-Language Pathologist | 5820 Addison Rd, Addison, TX 75001 | 2020-01-22 |
| 1669020467 | Us Med, LLC | Durable Medical Equipment & Medical Supplies | 15455 Dallas Parkway, Suite 600; Office #6015, Addision, TX 75001 | 2019-08-27 |
| 1316592215 | Sunny Boy Pharmacy, LLC | Pharmacy | 4388 Sunbelt Dr, Addision, TX 75001 | 2019-08-07 |
| 1538714779 | Tarpon Pllc | Physical Medicine & Rehabilitation | 17051 N. Dallas Parkway, Suite 320, Addison, TX 75001 | 2019-08-05 |
| 1235782251 | Aliah T Green | Speech-Language Pathologist | 15820 Addison Road, Addison, TX 75001 | 2019-07-18 |
| 1902376254 | Kendall Leann Chambers | Counselor | 15851 Dallas Parkway, Suite 600, Addison, TX 75001 | 2018-11-29 |
| 1053800391 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 17051 Dallas Pkwy Ste 310, Addison, TX 75001 | 2018-05-02 |
| 1528561719 | Relinda Lee Longan | Licensed Vocational Nurse | 4820 Westgrove Dr, # 903, Addison, TX 75001 | 2018-03-14 |
| 1306363338 | Margaret Weiss | Social Worker | Steven A Cohen Military Family Clinic At Metrocare, 16160 Midway Rd, Suite 218, Addison, TX 75001 | 2017-08-30 |
| 1508380759 | Dallas Sci Recovery Inc | Clinic/Center | 15046 Beltway Dr, Addison, TX 75001 | 2017-07-31 |
| Find all providers in zip 75001 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518869 | Texas Advanced Imaging LLC | Clinic/Center | 4907 Sandhill Dr Ste D, Sugar Land, TX 77479-5352 | 2020-11-06 |
| 1801401229 | Jason A Ramsey M D P A | Clinic/Center | 8214 Milwaukee Ave Ste 200, Lubbock, TX 79424-0923 | 2020-09-11 |
| 1053940494 | Alliance Mri Woodforest LLC | Clinic/Center | 750 Fish Creek Thoroughfare, Suite 180, Montgomery, TX 77316 | 2020-04-07 |
| 1578199733 | Prestige Diagnostic Imaging LLC | Clinic/Center | 11240 Vista Del Sol Dr Ste A, El Paso, TX 79936-5236 | 2020-03-19 |
| 1740815364 | Prestige Diagnostic Imaging | Clinic/Center | 11240 Vista Del Sol Dr., El Paso, TX 79936-5236 | 2020-03-04 |
| 1457991689 | Inclusive Diagnostics, Inc | Clinic/Center | 12000 Richmond Ave Ste 125, Houston, TX 77082-2431 | 2020-01-15 |
| 1467006338 | Carroll Ave Imaging LLC | Clinic/Center | 1015 N Carroll Ave Ste 2001, Dallas, TX 75204-6613 | 2019-07-30 |
| 1316404635 | Alliance Mri Pearland LLC | Clinic/Center | 1910 Country Place Pkwy Ste 154, Pearland, TX 77584-2144 | 2019-02-22 |
| 1073080875 | North Texas Advanced Imaging LLC | Clinic/Center | 6160 Windhaven Pkwy Ste 100, Plano, TX 75093-2143 | 2018-10-30 |
| 1275014565 | Trinity Center Open Mri | Clinic/Center | 1110 Marshall Street, Laredo, TX 78045 | 2018-08-24 |
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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.