AMERICAN DYNAMIC IMAGING LTD NPI 1013097062

NPI Information

NPI: 1013097062
Provider Name: AMERICAN DYNAMIC IMAGING LTD

Former Legal Business Name: PHYSICIANS STAND UP MRI LTC

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

Specialization: Magnetic Resonance Imaging (MRI)

Address:
797 LONESOME DOVE TRL
HURST, TX
ZIP 76054
Phone: (817) 577-7500
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AMERICAN DYNAMIC IMAGING LTD is a magnetic resonance imaging (mri) clinic center in Hurst, TX. AMERICAN DYNAMIC IMAGING LTD NPI is 1013097062. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Physicians Stand Up Mri Ltc.

The provider's business location address is:

797 LONESOME DOVE TRL
HURST, TX
ZIP 76054-018
Phone: (817) 577-7500
Fax: (817) 577-7501

The provider's authorized official is Gay Walters .
The authorized official title is President and has the following contact phone number (817) 577-7500.

The CLIA number assigned to this NPI record is 45D2124206 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 2/15/2017.

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	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)		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	286149404	MEDICAID	TEXAS
2	FTX185	MEDICARE OSCAR/CERTIFICATION	TEXAS

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: 4/28/2024

NPI Synchronization or Removal

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