LEGACY MOBILE DIAGNOSTICS LLC
NPI 1376479360
Clinic/Center - Radiology, Mobile in Celina, TX
About Legacy Mobile Diagnostics Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGACY MOBILE DIAGNOSTICS LLC (NPI 1376479360) is a healthcare organization registered as a radiology, mobile in Celina, Texas and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through July 13, 2028 and lists Tracy Chavez, Owner/ Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2347165
Legacy Mobile Diagnostics · Celina, TXOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Legacy Mobile Diagnostics LLC's NPI number?
The NPI number for Legacy Mobile Diagnostics LLC is 1376479360. It was assigned to this organization in the NPPES registry on June 18, 2026.
Where is Legacy Mobile Diagnostics LLC located?
Legacy Mobile Diagnostics LLC is located at 2413 Saint George Dr, Celina, TX 75009. The listed phone number is (469) 428-2975.
What is Legacy Mobile Diagnostics LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mobile, with taxonomy code 261QR0208X.
Does Legacy Mobile Diagnostics LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2347165) is associated with this NPI, valid through July 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Legacy Mobile Diagnostics LLC was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.
# Legacy Mobile Diagnostics Llc · NPI 1376479360
Radiology, Mobile organization in Celina, Texas. Organization record, active in the CMS NPPES registry since June 18, 2026.
## Identity
- **NPI:** 1376479360 (Entity type: Organization)
- **Enumerated:** June 18, 2026
- **Primary specialty:** Clinic/Center - Radiology, Mobile · taxonomy 261QR0208X
- **Organization subpart:** No
- **Authorized official:** Tracy Chavez, OWNER/ AUTHORIZED OFFICIAL
## Practice location
- **Address:** 2413 SAINT GEORGE DR, Celina, TX 75009-4847
- **Phone:** (469) 428-2975
## Record status
- **NPPES last updated:** August 11, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376479360) · Data from the CMS NPPES public registry.