GENESIS RADIOLOGY P.A. NPI 1154433746

NPI Information

NPI: 1154433746
Provider Name: GENESIS RADIOLOGY, P.A.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2828 W PARKER RD
PLANO, TX
ZIP 75075
Phone: (972) 599-1860
Get Directions

GENESIS RADIOLOGY, P.A. 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. GENESIS RADIOLOGY, P.A. NPI is 1154433746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2828 W PARKER RD
PLANO, TX
ZIP 75075-153
Phone: (972) 599-1860

The provider's authorized official is Albert Tesoriero .
The authorized official title is Medical Director and has the following contact phone number (972) 599-1860.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 12/17/2008.

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	G7011	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	113724202	MEDICAID	TEXAS
2	1593231	MEDICAID	LOUISIANA
3	00520V	MEDICARE PIN
4	8J8280	OTHER	TEXAS	BCBS
5	180974600	OTHER	TEXAS	DEPT OF LABOR
6	300074692	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	RAILROAD MEDICARE

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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