VISTA PEM PROVIDERS LLC NPI 1881912335

NPI Information

  • NPI: 1881912335
  • Provider Name: VISTA PEM PROVIDERS, LLC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Doing Business As: SANDRA O'NEAL INSTITUTE
  • Address: 5072 W PLANO PKWY
    SUITE 190
    PLANO, TX
    ZIP 75093
  • Phone: (469) 362-6909

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NPI Details

VISTA PEM PROVIDERS, LLC is a radiology clinic center in Plano, TX. VISTA PEM PROVIDERS, LLC NPI is 1881912335. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sandra O'neal Institute.

The provider's business location address is:

5072 W PLANO PKWY
SUITE 190
PLANO, TX
ZIP 75093-476
Phone: (469) 362-6909

The provider's authorized official is Laura Kassa .
The authorized official title is Sr Vice President and has the following contact phone number (904) 515-0362.

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.

  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Diagnostic mammography of both breasts (HCPCS:77066)

The enumeration date for this NPI number is 5/7/2010 and was last updated on 4/6/2022.

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

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
1282161301MEDICAIDTEXAS
2FTN041OTHERMEDICARE PTAN

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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