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DEDICATED MRI CENTER PLLC NPI 1205324183


NPI Information

NPI: 1205324183
Provider Name: DEDICATED MRI CENTER, PLLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 45D0481649

Address:
208 GASLIGHT BLVD STE C
LUFKIN, TX
ZIP 75904
Phone: (836) 634-8808
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DEDICATED MRI CENTER, PLLC is a diagnostic radiology radiology in Lufkin, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DEDICATED MRI CENTER, PLLC NPI is 1205324183. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

208 GASLIGHT BLVD STE C
LUFKIN, TX
ZIP 75904-166
Phone: (836) 634-8808
Fax: (936) 634-8836

The provider's authorized official is Jason D Carter .
The authorized official title is Managing Partner and has the following contact phone number (936) 630-8800.

The CLIA number assigned to this NPI record is 45D0481649 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2018 and was last updated on 10/26/2018.


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 RadiologyYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.