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BOULEVARD DIAGNOSTIC MANAGEMENT GROUP, LLC
NPI 1194061135
Clinic/Center - Magnetic Resonance Imaging (MRI) in Southlake, TX

Active since December 19, 2012
3120 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092(817) 741-0808 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boulevard Diagnostic Management Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOULEVARD DIAGNOSTIC MANAGEMENT GROUP, LLC (NPI 1194061135) is a healthcare organization registered as a magnetic resonance imaging (mri) in Southlake, Texas and active in the NPI registry since December 2012. The organization lists James Aubrey Waller, Managing Manager, as its authorized official.

NPPES Registry Identity

NPI1194061135
Entity TypeOrganization
Primary Taxonomy261QM1200X
Legal Business NameBOULEVARD DIAGNOSTIC MANAGEMENT GROUP, LLC
Location Address3120 W SOUTHLAKE BLVDSouthlake, TX 76092-6783
Mailing Address3120 W Southlake BlvdSouthlake, TX 76092-6783 · (817) 741-0808
Phone(817) 741-0808
Organization SubpartNo
Authorized OfficialJames Aubrey WallerManaging Manager · (817) 528-7044
Enumeration DateDecember 19, 2012
✔ NPI 1194061135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Magnetic Resonance Imaging (MRI)Ambulatory Health Care Facilities
Taxonomy Code261QM1200X
3120 W SOUTHLAKE BLVD, Southlake, TX 76092
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELITE VIEW IMAGING, LLC
Clinic/Center (Radiology)
3120 W SOUTHLAKE BLVD, SUITE 140
SOUTHLAKE, TX 76092
Tarrant County (817) 741-0858
NOCTURNA SLEEP THERAPY LP
Durable Medical Equipment & Medical Supplies
3120 W SOUTHLAKE BLVD, SUITE 120
SOUTHLAKE, TX 76092
Tarrant County (817) 741-4280
NOCTURNA OF KELLER LP
Clinic/Center (Sleep Disorder Diagnostic)
3120 W SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 741-4520
DR. TIMOTHY CHAPMAN DC
Chiropractor
3120 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (407) 687-7176
ELITE VIEW IMAGING, LLC
Clinic/Center (Radiology)
3120 W SOUTHLAKE BLVD, SUITE 140
SOUTHLAKE, TX 76092
Tarrant County (817) 741-0808
ABOUDIB ADVANCED IMAGING INC
Radiology (Diagnostic Radiology)
3120 W SOUTHLAKE BLVD, SUITE 140
SOUTHLAKE, TX 76092
Tarrant County (817) 741-0808
ALLISON ANDREWS NP, FAMILY
Nurse Practitioner (Family)
3120 W SOUTHLAKE BLVD, STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 518-1112
TCSD CLINIC LLC
Clinic/Center (Sleep Disorder Diagnostic)
3120 W SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 741-4521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boulevard Diagnostic Management Group, LLC's NPI number?

The NPI number for Boulevard Diagnostic Management Group, LLC is 1194061135. It was assigned to this organization in the NPPES registry on December 19, 2012.

Where is Boulevard Diagnostic Management Group, LLC located?

Boulevard Diagnostic Management Group, LLC is located at 3120 W Southlake Blvd, Southlake, TX 76092. The listed phone number is (817) 741-0808.

What is Boulevard Diagnostic Management Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Magnetic Resonance Imaging (MRI), with taxonomy code 261QM1200X.

When was this NPI record last updated?

The NPPES record for Boulevard Diagnostic Management Group, LLC was last updated on December 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.