ADELAIDE DIAGNOSTIC CENTER LLC NPI 1205933256

NPI Information

NPI: 1205933256
Provider Name: ADELAIDE DIAGNOSTIC CENTER LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2692 W WALNUT ST
SUITE #108
GARLAND, TX
ZIP 75042
Phone: (214) 328-3333
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ADELAIDE DIAGNOSTIC CENTER LLC is a diagnostic radiology radiology in Garland, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADELAIDE DIAGNOSTIC CENTER LLC NPI is 1205933256. The provider is registered as an organization entity type.

The provider's business location address is:

2692 W WALNUT ST
SUITE #108
GARLAND, TX
ZIP 75042-474
Phone: (214) 328-3333
Fax: (214) 328-3330

The provider's authorized official is Jackson Jacob .
The authorized official title is General Manager and has the following contact phone number (214) 328-3333.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 2/19/2008.

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	293D00000X	Physiological Laboratory				No
2	2085R0202X	Radiology	Diagnostic Radiology	J6228	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	FTX214	MEDICARE PIN	TEXAS
2	0623DC	OTHER	TEXAS	BC/BS

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

NPI Synchronization or Removal

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