STAT X-RAY OF TEXAS NPI 1417052002

NPI Information

  • NPI: 1417052002
  • Provider Name: STAT X-RAY OF TEXAS
  • Classification: Radiologic Technologist - 247100000X
  • Entity Type: Organization
  • Address: 4124 GUS THOMASSON ROAD
    MESQUITE, TX
    ZIP 75150
  • Phone: (972) 682-0484

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NPI Details

STAT X-RAY OF TEXAS is a radiologic technologist in Mesquite, TX. The provider is a medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation. STAT X-RAY OF TEXAS NPI is 1417052002. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4124 GUS THOMASSON ROAD
MESQUITE, TX
ZIP 75150-226
Phone: (972) 682-0484
Fax: (214) 221-5600

The provider's authorized official is Parampottil Tharian Issac .
The authorized official title is Owner and has the following contact phone number (972) 772-4864.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Set-up portable x-ray equipment (HCPCS:Q0092)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen (HCPCS:R0070)
  • Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen (HCPCS:R0075)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of skull, 1-3 views (HCPCS:70250)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • X-ray of foot, 2 views (HCPCS:73620)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of hand, 2 views (HCPCS:73120)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of ankle, 2 views (HCPCS:73600)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • X-ray of wrist, 2 views (HCPCS:73100)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of ribs on side of body, 2 views (HCPCS:71100)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of sacrum and tailbone, minimum of 2 views (HCPCS:72220)
  • X-ray of toe, minimum of 2 views (HCPCS:73660)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • X-ray of heel, minimum of 2 views (HCPCS:73650)
  • X-ray of ribs on both sides of body, 3 views (HCPCS:71110)

The enumeration date for this NPI number is 9/14/2006 and was last updated on 12/6/2007.

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
12471S1302XRadiologic TechnologistSonographyNo
2247100000XRadiologic TechnologistYes

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
1459840OTHERTEXASBCBS
2459840MEDICARE PINTEXAS

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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