ABOUDIB ADVANCED IMAGING INC (NPI# 1528148715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528148715 |
| Entity Type | Organization |
| Organization Name | ABOUDIB ADVANCED IMAGING INC |
| Other Organization Name | ADVANCED IMAGING INC |
| Practice Address |
3120 W Southlake Blvd Suite 140 Southlake TX 76092 |
| Mailing Address |
Po Box 5456 Traverse City MI 49696 |
| Practice Telephone | 8177410808 |
| Practice Fax Number | 8177410841 |
| Mailing Telephone | 8173006481 |
| Mailing Fax Number | 2314215215 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2010-12-03 |
| Authorized Official Name | TONY G ABOUDIB (PRESIDENT) |
| Authorized Official Telephone | 8173006481 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R26088 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 088049401 | 05 | |
| BLUE CROSS | 0090DC | 01 | |
| RAILROAD MEDICARE | P00012585 | 01 | |
| TX | DEPARTMENT OF LABOR | 376899000 | 01 |
| Other Name | Type Code |
|---|---|
| Advanced Imaging Inc | Doing Business As Name - Organization |
| Street Address |
3120 W SOUTHLAKE BLVD SUITE 140 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538520770 | Allison Andrews | Nurse Practitioner | 3120 W Southlake Blvd, Ste 100, Southlake, TX 76092-6783 | 2016-03-16 |
| 1144663832 | Elite View Imaging, LLC | Clinic/Center | 3120 W Southlake Blvd, Suite 140, Southlake, TX 76092-6783 | 2013-04-11 |
| 1417390360 | Elite View Imaging, LLC | Clinic/Center | 3120 W Southlake Blvd, Suite 140, Southlake, TX 76092-6783 | 2013-04-10 |
| 1194061135 | Boulevard Diagnostic Management Group, LLC | Clinic/Center | 3120 W Southlake Blvd, Southlake, TX 76092-6783 | 2012-12-19 |
| 1639367329 | Tcsd Clinic LLC | Clinic/Center | 3120 W Southlake Blvd, Suite 100, Southlake, TX 76092-6783 | 2007-10-09 |
| 1184743247 | Nocturna Sleep Therapy Lp | Durable Medical Equipment & Medical Supplies | 3120 W Southlake Blvd, Suite 120, Southlake, TX 76092-6783 | 2007-03-28 |
| 1265578520 | Nocturna of Keller Lp | Clinic/Center | 3120 W Southlake Blvd, Suite 100, Southlake, TX 76092-6783 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164825444 | Ct Healthcare Group, LLC | Radiology | 431 East State Hwy.114, Suite 490, Southlake, TX 76092 | 2014-10-01 |
| 1225232309 | Stacy L. Lee | Radiology | 300 Miron Dr, Southlake, TX 76092-7862 | 2007-06-13 |
| 1629014386 | Sarah Khan | Radiology | 630 E State Highway 114, Southlake, TX 76092-4410 | 2006-06-21 |
| 1043591373 | Medx Imaging LLC | Radiology | 630 E State Highway 114, Southlake, TX 76092 | 2011-08-31 |
| 1407883846 | Irving Radiological Associates LLP | Radiology | 1545 E Southlake Blvd, Southlake, TX 76092 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492311 | Mobile Life-saving Health Services LLC | Radiology | 12522 Reverence Way, Cypress, TX 77429-0038 | 2020-09-18 |
| 1629683818 | Springwood Radiology Associates, Pllc | Radiology | 3010 Palmer Way, Spring, TX 77380-4081 | 2020-09-14 |
| 1861000572 | Benchmark Imaging Center LLC | Radiology | 510 Victoria Ln Ste 2, Harlingen, TX 78550-3239 | 2020-07-20 |
| 1174131049 | Specialty Imaging Consultants LLC | Radiology | 4320 Westway Ave, Dallas, TX 75205-3728 | 2020-07-16 |
| 1689294118 | Yolanda Salas Vergara | Radiology | 215 E Quincy St Ste 100, San Antonio, TX 78215-2032 | 2020-04-24 |
| 1568095123 | Century Radiology Medical Group, Inc | Radiology | 7102 Bethencourt, San Antonio, TX 78209-3407 | 2020-02-21 |
| 1760030852 | Francis Joseph Carabin | Radiology | 318 E Nakoma St, San Antonio, TX 78216-2795 | 2019-08-31 |
| 1922650605 | Hw Diagnostics LLC | Radiology | 18652 Mckay Dr Ste 200, Humble, TX 77338-5716 | 2019-07-12 |
| 1780246561 | Imaging Consultants | Radiology | 7250 Dallas Pkwy Ste 400, Plano, TX 75024-4931 | 2019-07-02 |
| 1366000531 | Interventional Partners, LLC | Radiology | 1650 Round Rock Ave Ste 100, Round Rock, TX 78681-4082 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
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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.