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BOULEVARD DIAGNOSTIC MGMT GROUP
NPI 1922343342
Clinic/Center - Radiology in Southlake, TX

Active since December 11, 2012
3120 W SOUTHLAKE BLVD # 140, SOUTHLAKE, TX 76092(817) 741-0808(817) 741-0841 Get Directions Write a Review

NPPES record last updated: December 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boulevard Diagnostic Mgmt Group NPPES

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

BOULEVARD DIAGNOSTIC MGMT GROUP (NPI 1922343342) is a healthcare organization registered as a radiology in Southlake, Texas and active in the NPI registry since December 2012. The organization lists James Waller, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1922343342
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameBOULEVARD DIAGNOSTIC MGMT GROUP
Location Address3120 W SOUTHLAKE BLVD # 140Southlake, TX 76092-6783
Mailing Address3120 W Southlake Blvd # 140Southlake, TX 76092-6783
Phone(817) 741-0808
Fax(817) 741-0841
Organization SubpartNo
Authorized OfficialJames WallerOperations Manager · (817) 741-0808
Enumeration DateDecember 11, 2012
✔ NPI 1922343342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
3120 W SOUTHLAKE BLVD # 140, Southlake, TX 76092
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Other Providers at the Same Location NPPES

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

ABOUDIB ADVANCED PAIN CENTER
Clinic/Center
3120 W SOUTHLAKE BLVD # 140
SOUTHLAKE, TX 76092
Tarrant County (817) 741-0808

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 Mgmt Group's NPI number?

The NPI number for Boulevard Diagnostic Mgmt Group is 1922343342. It was assigned to this organization in the NPPES registry on December 11, 2012.

Where is Boulevard Diagnostic Mgmt Group located?

Boulevard Diagnostic Mgmt Group is located at 3120 W Southlake Blvd # 140, Southlake, TX 76092. The listed phone number is (817) 741-0808.

What is Boulevard Diagnostic Mgmt Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Boulevard Diagnostic Mgmt Group was last updated on December 11, 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.