FORT WORTH I ENTERPRISES, LLC (NPI# 1891981783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891981783 |
| Entity Type | Organization |
| Organization Name | FORT WORTH I ENTERPRISES, LLC |
| Other Organization Name | HEALTHY IMAGES OF TEXAS |
| Practice Address |
4150 International Plz Suite 624 Fort Worth TX 76109-4892 |
| Practice Telephone | 8173494408 |
| Practice Fax Number | 8173494409 |
| Mailing Telephone | 8173494408 |
| Mailing Fax Number | 8173494409 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |
| Authorized Official Name | GARY BLAKE (MANAGING MEMBER) |
| Authorized Official Telephone | 8178323654 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Healthy Images of Texas | Doing Business As Name - Organization |
| Street Address |
4150 INTERNATIONAL PLZ SUITE 624 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-4892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164582433 | Jane Harakal Phillips | Social Worker | 4150 International Plz, Fort Worth, TX 76109-4892 | 2006-12-09 |
| 1902351166 | The Lasik Vision Institute LLC | Clinic/Center | 4150 International Plz, Suite 150, Fort Worth, TX 76109-4892 | 2016-08-17 |
| 1205132065 | Executive Producers | Psychologist | 4150 International Plz, Ste 600, Fort Worth, TX 76109-4892 | 2011-01-26 |
| 1184875742 | Monya Crow | Counselor | 4150 International Plz, Suite 600, Fort Worth, TX 76109-4892 | 2008-10-01 |
| 1164686416 | Lisa Garrett Farhat | Counselor | 4150 International Plz, Suite 600, Fort Worth, TX 76109-4892 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972941326 | Btdi Jv LLP | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1101 6th Ave, Fort Worth, TX 76104-4306 | 2013-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127908 | First Choice Mobile Imaging Service of Texas, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 781 Station Dr Ste 109, Arlington, TX 76015-1651 | 2020-09-08 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1326661190 | Precise Vascular Sonography LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 24165 Ih 10 W Ste 217-750, San Antonio, TX 78257-1449 | 2020-05-27 |
| 1528680378 | South Texas Rdi Group LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6630 Fm 1463 Rd Ste 500-134, Katy, TX 77494-7412 | 2020-05-15 |
| 1457985582 | Neighborhood Portable X-ray Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K Suite 109, Plano, TX 75074 | 2020-02-27 |
| 1891326765 | Kelly Joe Stanley | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K, 109, Plano, TX 75074 | 2020-01-30 |
| 1528609997 | Biostat Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4841 Keller Springs Rd Ste A, Addison, TX 75001-5912 | 2019-10-07 |
| 1811543150 | Genesis Mobile Logistics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 13988 Diplomat Dr Ste D, Dallas, TX 75234-8807 | 2019-08-13 |
| 1346726411 | National Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2121 Lohman's Crossing, Ste 504 Pmb 454, Lakeway, TX 78734-5288 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
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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.