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TRAIL BLAZER DIAGNOSTICS NPI 1336271097


NPI Information

NPI: 1336271097
Provider Name: TRAIL BLAZER DIAGNOSTICS
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
221 W COLORADO BLVD
#925
DALLAS, TX
ZIP 75208
Phone: (281) 395-4121
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TRAIL BLAZER DIAGNOSTICS is a radiology and mobile clinic center in Dallas, TX. TRAIL BLAZER DIAGNOSTICS NPI is 1336271097. The provider is registered as an organization entity type.

The provider's business location address is:

221 W COLORADO BLVD
#925
DALLAS, TX
ZIP 75208-363
Phone: (281) 395-4121

The provider's authorized official is Sharon Martin .
The authorized official title is V.p. Of Operations and has the following contact phone number (281) 395-4121.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0208XClinic/CenterRadiology, MobileYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.