TARRANT DIAGNOSTIC IMAGING, LLC


Address: 1121 8th Ave, Fort Worth, TX 76104-4102
Phone: 8173355370

TARRANT DIAGNOSTIC IMAGING, LLC (NPI# 1134345879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134345879
Entity Type Organization
Organization Name TARRANT DIAGNOSTIC IMAGING, LLC
Other Organization Name TDI MOLECULAR IMAGING
Practice Address 1121 8th Ave
Fort Worth
TX 76104-4102
Practice Telephone 8173355370
Practice Fax Number 8173355318
Mailing Telephone 8173355370
Mailing Fax Number 8173355318
Enumeration Date 2007-04-18
Last Update Date 2020-08-22
Authorized Official Name TERRI SMITH (BILLING)
Authorized Official Telephone 8173355370
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
L05655 TX Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
TDI Molecular Imaging Doing Business As Name - Organization

Office Location

Street Address 1121 8TH AVE
City FORT WORTH
State TX
Zip Code 76104-4102

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1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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1275874521 Baylor All Saints Medical Center Clinic/Center 1701 W Rosedale St, Fort Worth, TX 76104-7425 2013-03-12
1407014467 Prestige Imaging LLC Clinic/Center 1616 Wabash Ave, Fort Worth, TX 76107-6528 2008-05-27
1871788224 Ramic Fort Worth, LLC Clinic/Center 750 12th Ave Ste 100, Fort Worth, TX 76104-2531 2007-09-10
1942424452 Ged Medical Management Inc Clinic/Center 2001 Cooper Street, Fort Worth, TX 76104 2007-04-13
1699277327 Cardiovascular Testing Services Pa Clinic/Center 6809 Sawgrass Dr, Fort Worth, TX 76132-7103 2018-03-08
1275062572 Vma Partners LLC Clinic/Center 1307 8th Ave, Fort Worth, TX 76104-4137 2017-06-08
1801346036 Healthy Heart Medical Pa Clinic/Center 6809 Sawgrass Dr, Fort Worth, TX 76132-7103 2016-10-12
1104191568 Touchstone Imaging of Mesquite, Lp Clinic/Center 1101 6th Ave, Fort Worth, TX 76104-4306 2012-03-19
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Competitor

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City FORT WORTH
Zip Code 76104

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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