LEGACY MEDICAL IMAGING
NPI 1770852840
Clinic/Center - Radiology in Waco, TX
Active since December 20, 2011
About Legacy Medical Imaging NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGACY MEDICAL IMAGING (NPI 1770852840) is a healthcare organization registered as a radiology in Waco, Texas and active in the NPI registry since December 2011. The organization lists Jim Madsen, Chief Operations Officer, as its authorized official.
NPPES Registry Identity
NPI1770852840
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameLEGACY MEDICAL IMAGING
Location Address601 W HWY 6, SUITE 104Waco, TX 76710-5591
Mailing Address1905 Sw H K Dodgen LoopTemple, TX 76502-1814 · (254) 298-2490 · Fax (254) 778-7197
Phone(254) 741-9729
Fax(254) 399-0669
Organization SubpartYesParent: Physicians Of King's Daughters, Pa
Authorized OfficialJim MadsenChief Operations Officer · (254) 298-2490
Enumeration DateDecember 20, 2011
✔ NPI 1770852840 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
601 W HWY 6, Waco, TX 76710
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinical Medical Laboratory
601 W HWY 6, SUITE 111
WACO, TX 76710
WACO, TX 76710
Pathology (Anatomic Pathology & Clinical Pathology)
601 W HWY 6, SUITE 111
WACO, TX 76710
WACO, TX 76710
Pathology (Anatomic Pathology & Clinical Pathology)
601 W HWY 6, SUITE 111
WACO, TX 76710
WACO, TX 76710
Pathology (Anatomic Pathology & Clinical Pathology)
601 W HWY 6, SUITE 111
WACO, TX 76710
WACO, TX 76710
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770852840, enumerated as an "organization" on December 20, 2011.
The provider is located at 601 W HWY 6 SUITE 104 WACO, TX 76710 and the phone number is (254) 741-9729.
Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.