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SMR DIAGNOSTICS LTD NPI 1912017401


NPI Information

NPI: 1912017401
Provider Name: SMR DIAGNOSTICS LTD

Doing Business As: ONE SOURCE DIAGNOSTIC IMAGING

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
505 N RIDGEWAY DR
STE 252
CLEBURNE, TX
ZIP 76033
Phone: (817) 517-5665
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SMR DIAGNOSTICS LTD is a specialist in Cleburne, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SMR DIAGNOSTICS LTD NPI is 1912017401. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As One Source Diagnostic Imaging.

The provider's business location address is:

505 N RIDGEWAY DR
STE 252
CLEBURNE, TX
ZIP 76033-118
Phone: (817) 517-5665
Fax: (817) 556-3999

The provider's authorized official is Mary E Kiser .
The authorized official title is Director Of Operations and has the following contact phone number (817) 517-5665.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/18/2009.


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
1174400000XSpecialistR26791TEXASYes

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
1R26791OTHERTEXASSTATE LICENSE
2FTA052MEDICARE ID-TYPE UNSPECIFIEDTEXASGROUP MEDICARE PROVIDER
3FTA052MEDICARE PINTEXAS
4150682601MEDICAIDTEXAS

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

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