LEGACY MEDICAL IMAGING (NPI# 1770852840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770852840 |
| Entity Type | Organization |
| Organization Name | LEGACY MEDICAL IMAGING |
| Practice Address |
601 W Hwy 6 Suite 104 Waco TX 76710-5591 |
| Mailing Address |
1905 Sw H K Dodgen Loop Temple TX 76502-1814 |
| Practice Telephone | 2547419729 |
| Practice Fax Number | 2543990669 |
| Mailing Telephone | 2542982490 |
| Mailing Fax Number | 2547787197 |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |
| Authorized Official Name | MR. JIM MADSEN (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 2542982490 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHYSICIANS OF KING'S DAUGHTERS, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
601 W HWY 6 SUITE 104 |
| City | WACO |
| State | TX |
| Zip Code | 76710-5591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962485516 | William R Nesmith | Pediatrics | 601 W Hwy 6, Suite 102, Waco, TX 76710-5591 | 2005-11-28 |
| 1235564246 | Kari D Herman | Advanced Practice Midwife | 601 W Hwy 6, Suite 101, Waco, TX 76710-5591 | 2013-09-09 |
| 1063774214 | Daniel Augustus Smith | Pathology | 601 W Hwy 6, Suite 111, Waco, TX 76710-5591 | 2012-06-13 |
| 1265792964 | Noelle Aissa Baker | Obstetrics & Gynecology | 601 W Hwy 6, Suite 101, Waco, TX 76710-5591 | 2012-05-29 |
| 1659503464 | Quest Imaging, Inc. | Physiological Laboratory | 601 W Hwy 6, Suite 104, Waco, TX 76710-5591 | 2009-08-12 |
| 1346498755 | Cary Daniel Chisholm | Pathology | 601 W Hwy 6, Suite 111, Waco, TX 76710-5591 | 2008-08-28 |
| 1669676227 | Catherine Sue Conner | Pediatrics | 601 W Hwy 6, Suite 102, Waco, TX 76710-5591 | 2007-06-14 |
| 1184701724 | Smc Home Health, Inc. | Home Infusion | 601 W Hwy 6, Suite 114, Waco, TX 76710-5591 | 2006-11-01 |
| 1275639007 | Waco Pathology Associates, P.a. | Pathology | 601 W Hwy 6, Suite 111, Waco, TX 76710-5591 | 2006-09-16 |
| 1306950597 | William Richard Haskett | Obstetrics & Gynecology | 601 W Hwy 6, 101, Waco, TX 76710-5575 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932692548 | Ideal Mri, LLC | Clinic/Center | 2816 Marketplace Dr Ste 120, Waco, TX 76711-2487 | 2018-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515428 | Medical Referral Services, LLC | Clinic/Center | 2450 Nasa Pkwy Ste 125, Houston, TX 77058-3784 | 2020-10-16 |
| 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 |
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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.