INNATE IMAGING LLC NPI 1104467232

NPI Information

NPI: 1104467232
Provider Name: INNATE IMAGING LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
7504 SAN JACINTO PL
PLANO, TX
ZIP 75024
Phone: (469) 310-4977
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INNATE IMAGING LLC is a diagnostic radiology radiology in Plano, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. INNATE IMAGING LLC NPI is 1104467232. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7504 SAN JACINTO PL
PLANO, TX
ZIP 75024-233
Phone: (469) 310-4977
Fax: (469) 214-9981

The provider's authorized official is Gary D Martin .
The authorized official title is President and has the following contact phone number (469) 215-3494.

The enumeration date for this NPI number is 9/30/2019 and was last updated on 11/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes
2	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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