NORTH STAR MCD LLC NPI 1962779371

NPI Information

  • NPI: 1962779371
  • Provider Name: NORTH STAR MCD, LLC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Doing Business As: NORTH STAR DIAGNOSTIC IMAGING
  • CLIA Number: 45D2157323
  • Address: 2535 IRA E WOODS AVE STE 101
    GRAPEVINE, TX
    ZIP 76051
  • Phone: (972) 649-6460

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NPI Details

NORTH STAR MCD, LLC is a radiology clinic center in Grapevine, TX. NORTH STAR MCD, LLC NPI is 1962779371. The provider is registered as an organization entity type.
The provider Is Doing Business As North Star Diagnostic Imaging.

The provider's business location address is:

2535 IRA E WOODS AVE STE 101
GRAPEVINE, TX
ZIP 76051-930
Phone: (972) 649-6460

The provider's authorized official is David Wright .
The authorized official title is Manager and has the following contact phone number (972) 649-6460.

The CLIA number assigned to this NPI record is 45D2157323 - other - imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2011 and was last updated on 9/24/2020.

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
1261QR0200XClinic/CenterRadiologyYes

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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