LEGACY MOBILE DIAGNOSTICS NPI 1376479360

NPI Information

  • NPI: 1376479360
  • Provider Name: LEGACY MOBILE DIAGNOSTICS
  • Classification: Clinic/Center - 261QR0208X
  • Specialization: Radiology, Mobile
  • Entity Type: Organization
  • Address: 2413 SAINT GEORGE DR
    CELINA, TX
    ZIP 75009
  • Phone: (469) 428-2975

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NPI Details

LEGACY MOBILE DIAGNOSTICS is a radiology and mobile clinic center in Celina, TX. LEGACY MOBILE DIAGNOSTICS NPI is 1376479360. The provider is registered as an organization entity type.

The provider's business location address is:

2413 SAINT GEORGE DR
CELINA, TX
ZIP 75009-847
Phone: (469) 428-2975

The provider's authorized official is Tracy Chavez .
The authorized official title is Owner and has the following contact phone number (469) 428-2975.

The enumeration date for this NPI number is 6/18/2026 and was last updated on 6/18/2026.

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
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: 11/21/2025

NPI Synchronization or Removal

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