MEDIVEST DENTON LP NPI 1578214284

NPI Information

  • NPI: 1578214284
  • Provider Name: MEDIVEST DENTON, LP
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Doing Business As: MONTICELLO DIAGNOSTIC IMAGING OF DECATUR
  • Address: 1713 S FM 51 # 104
    DECATUR, TX
    ZIP 76234
  • Phone: (817) 377-3800

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NPI Details

MEDIVEST DENTON, LP is a radiology clinic center in Decatur, TX. MEDIVEST DENTON, LP NPI is 1578214284. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Monticello Diagnostic Imaging Of Decatur.

The provider's business location address is:

1713 S FM 51 # 104
DECATUR, TX
ZIP 76234-642
Phone: (817) 377-3800
Fax: (817) 377-3801

The provider's authorized official is Chelsea Mechelle Holder .
The authorized official title is Practice Administrator and has the following contact phone number (817) 377-3800.

The enumeration date for this NPI number is 1/13/2022 and was last updated on 12/27/2024.

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
12085R0202XRadiologyDiagnostic RadiologyNo
2261QR0200XClinic/CenterRadiologyYes
3293D00000XPhysiological LaboratoryNo

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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