PREMIER BREAST IMAGING LLC NPI 1356165849

NPI Information

  • NPI: 1356165849
  • Provider Name: PREMIER BREAST IMAGING LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 5600 W LOVERS LN STE 207
    DALLAS, TX
    ZIP 75209
  • Phone: (214) 764-8042

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NPI Details

PREMIER BREAST IMAGING LLC is a diagnostic radiology radiology in Dallas, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PREMIER BREAST IMAGING LLC NPI is 1356165849. The provider is registered as an organization entity type.

The provider's business location address is:

5600 W LOVERS LN STE 207
DALLAS, TX
ZIP 75209-365
Phone: (214) 764-8042

The provider's authorized official is Matthew Reaven .
The authorized official title is Member and has the following contact phone number (330) 327-7840.

The enumeration date for this NPI number is 11/11/2024 and was last updated on 11/17/2025.

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
1261QR0206XClinic/CenterRadiology, MammographyNo
22085R0202XRadiologyDiagnostic RadiologyYes

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: 11/21/2025

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