MAXUM HEALTH SERVICES CORP (NPI# 1932166105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932166105 |
| Entity Type | Organization |
| Organization Name | MAXUM HEALTH SERVICES CORP |
| Other Organization Name | INSIGHT DIAGNOSTIC CENTER - EIGHTH AVE |
| Practice Address |
1199 8th Ave Fort Worth TX 76104-4102 |
| Mailing Address |
Po Box 848074 Dallas TX 75284-8074 |
| Practice Telephone | 8173359729 |
| Practice Fax Number | 8178773868 |
| Mailing Telephone | 9492826000 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2012-08-20 |
| Authorized Official Name | JAMES F. STANLEY (CHIEF FINANCIAL OFFICER; TREASURER) |
| Authorized Official Telephone | 9492826000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | 470001131 | 01 |
| TX | 155916301 | 05 |
| Other Name | Type Code |
|---|---|
| InSight Diagnostic Center - Eighth Ave | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750348926 | Maxum Health Services Corp | Physiological Laboratory | 11617 N Central Expy, Ste 132, Dallas, TX 75243-3800 | 2006-04-28 |
| 1760655294 | Maxum Health Services Corp | Physiological Laboratory | 11617 N Central Expy, Mobile Unit, Dallas, TX 75243-3800 | 2008-04-04 |
| 1013974286 | Maxum Health Services Corp | Physiological Laboratory | 17950 Preston Rd, Ste 120, Dallas, TX 75252-5793 | 2006-04-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MAXUM HEALTH SERVICES CORP. | 5775 Wayzata Blvd., Suite 400, St. Louis Park, Minnesota 55416 |
| Street Address |
1199 8TH AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104218775 | Btdi Jv, LLP | Physiological Laboratory | 1199 8th Ave, Fort Worth, TX 76104-4102 | 2015-02-19 |
| 1033233036 | Insight Health Corp | Physiological Laboratory | 1199 8th Ave, Fort Worth, TX 76104-4102 | 2007-03-17 |
| 1881642361 | Terri Lee Allen | Radiology | 1199 8th Ave, Fort Worth, TX 76104-4102 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 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 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194334144 | Sonji M Blanchard | Physiological Laboratory | 8553 N Beach St Ste 224, Fort Worth, TX 76244-4919 | 2020-07-27 |
| 1649753716 | Health Imaging Partners LLC | Physiological Laboratory | 5701 Bryant Irvin Rd Ste 101, Fort Worth, TX 76132-4052 | 2018-09-13 |
| 1104109552 | Health Imaging Partners, LLC | Physiological Laboratory | 2911 Oak Park Circle, Fort Worth, TX 76109 | 2011-09-22 |
| 1144411570 | Fort Worth I Enterprises, LLC Dba Healthy Images of Texas | Physiological Laboratory | 4150 International Plz Ste 600, Fort Worth, TX 76109-4831 | 2007-08-09 |
| 1518023274 | Kenneth Wayne Morris | Physiological Laboratory | 4707 Alwood Ct, Fort Worth, TX 76135-1901 | 2006-12-28 |
| 1679525695 | Star Diagnostics of Tarrant County | Physiological Laboratory | 2100 N Main St, Ll20, Fort Worth, TX 76106-8570 | 2006-05-17 |
| 1154379741 | Diagnostic Health Centers of Texas Limited Partnership | Physiological Laboratory | 6001 Harris Pkwy, Fort Worth, TX 76132-4103 | 2006-05-05 |
| 1366977449 | Usmd Diagnostic Services, LLC | Physiological Laboratory | 5450 Clearfork Main St, Suite 110, Fort Worth, TX 76109-3559 | 2017-04-26 |
| 1083006233 | Btdi Jv, LLP | Physiological Laboratory | 1263 W Rosedale St, Suite 105, Fort Worth, TX 76104-2801 | 2015-02-25 |
| 1104218775 | Btdi Jv, LLP | Physiological Laboratory | 1199 8th Ave, Fort Worth, TX 76104-4102 | 2015-02-19 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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| 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.