BOULEVARD DIAGNOSTIC MANAGEMENT GROUP, LLC
NPI 1194061135
Clinic/Center - Magnetic Resonance Imaging (MRI) in Southlake, TX
- Organization
- Clinic/Center
- Magnetic Resonance Imaging (MRI)
About BOULEVARD DIAGNOSTIC MANAGEMENT GROUP, LLC
This page provides the complete NPI Profile along with additional information for Boulevard Diagnostic Management Group, Llc, a provider established in Southlake, Texas operating as a Clinic/center, focusing in magnetic resonance imaging (mri) . The healthcare provider is registered in the NPI registry with number 1194061135 assigned on December 2012. The practitioner's primary taxonomy code is 261QM1200X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. James Aubrey Waller (Managing Manager)
- NPI
- 1194061135 Verify this NPI
- Provider Name
- BOULEVARD DIAGNOSTIC MANAGEMENT GROUP, LLC
- Entity Type
- Organization
- Location Address
- 3120 W SOUTHLAKE BLVD SOUTHLAKE, TX 76092
- Location Phone
- (817) 741-0808
- Mailing Address
- 3120 W SOUTHLAKE BLVD SOUTHLAKE, TX 76092
- Mailing Phone
- (817) 741-0808
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-19-2012
- Last Update Date
- 12-19-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Magnetic Resonance Imaging (MRI)
- Taxonomy Code
- 261QM1200X
- Type
- Ambulatory Health Care Facilities
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
SOUTHLAKE, TX 76092
SOUTHLAKE, TX 76092
SOUTHLAKE, TX 76092
SOUTHLAKE, TX 76092
SOUTHLAKE, TX 76092
SOUTHLAKE, TX 76092
SOUTHLAKE, TX 76092
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194061135, enumerated as an "organization" on December 19, 2012.
The provider is located at 3120 W SOUTHLAKE BLVD SOUTHLAKE, TX 76092 and the phone number is (817) 741-0808.
Clinic/Center with taxonomy code 261QM1200X and a focus in Magnetic Resonance Imaging (MRI).
