DIAGNOSTIC PAVILION
NPI 1942424452
Clinic/Center - Magnetic Resonance Imaging (MRI) in Fort Worth, TX

Active since April 13, 2007
2001 COOPER STREET, FORT WORTH, TX 76104(817) 877-3054(817) 546-0851 Get Directions Write a Review

NPPES record last updated: March 5, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Diagnostic Pavilion NPPES

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

DIAGNOSTIC PAVILION (NPI 1942424452) is a healthcare organization registered as a magnetic resonance imaging (mri) in Fort Worth, Texas and active in the NPI registry since April 2007. The organization lists Alan Ira Ettinger, Cfo/president, as its authorized official.

NPPES Registry Identity

NPI1942424452
Entity TypeOrganization
Primary Taxonomy261QM1200X
Legal Business NameGED MEDICAL MANAGEMENT INC
Location Address2001 COOPER STREETFort Worth, TX 76104
Mailing Address2001 Cooper StreetFort Worth, TX 76104 · (817) 877-3054 · Fax (817) 546-0851
Fax(817) 546-0851
Organization SubpartNo
Authorized OfficialAlan Ira EttingerCfo/president · (817) 877-3054
Enumeration DateApril 13, 2007
Last NPPES UpdateMarch 5, 2012
NPI 1942424452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Magnetic Resonance Imaging (MRI)Ambulatory Health Care Facilities
Taxonomy Code261QM1200X
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X · License R29901 (TX)
2001 COOPER STREET, Fort Worth, TX 76104

Other Names 1

Doing Business AsDiagnostic Pavilion

Other Identifiers 3

Other0533DCTX · Blue Cross Provider Numbe
OtherR29901TX · State Lisc.#
Medicare ID-Type UnspecifiedFTX188TX · Medicare Number

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 Ged Medical Management Inc's NPI number?

The NPI number for Ged Medical Management Inc is 1942424452. It was assigned to this organization in the NPPES registry on April 13, 2007. The provider is doing business as Diagnostic Pavilion.

Where is Ged Medical Management Inc located?

Ged Medical Management Inc is located at 2001 Cooper Street, Fort Worth, TX 76104. The listed phone number is (817) 877-3054.

What is Ged Medical Management Inc'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 Ged Medical Management Inc was last updated on March 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.