GED MEDICAL MANAGEMENT INC NPI 1942424452

NPI Information

NPI: 1942424452
Provider Name: GED MEDICAL MANAGEMENT INC

Doing Business As: DIAGNOSTIC PAVILION

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
2001 COOPER STREET
FORT WORTH, TX
ZIP 76104
Phone: (817) 877-3054
Get Directions

GED MEDICAL MANAGEMENT INC is a magnetic resonance imaging (mri) clinic center in Fort Worth, TX. GED MEDICAL MANAGEMENT INC NPI is 1942424452. The provider is registered as an organization entity type.
The provider Is Doing Business As Diagnostic Pavilion.

The provider's business location address is:

2001 COOPER STREET
FORT WORTH, TX
ZIP 76104
Phone: (817) 877-3054
Fax: (817) 546-0851

The provider's authorized official is Alan Ira Ettinger .
The authorized official title is Cfo/president and has the following contact phone number (817) 877-3054.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 3/5/2012.

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	261QR0200X	Clinic/Center	Radiology	R29901	TEXAS	No
2	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)			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	0533DC	OTHER	TEXAS	BLUE CROSS PROVIDER NUMBE
2	R29901	OTHER	TEXAS	STATE LISC.#
3	=========	OTHER	TEXAS	TIN NUMBER
4	FTX188	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MEDICARE NUMBER

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: 5/5/2024

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