Boulevard Diagnostic Management Group, Llc

LBN: Boulevard Diagnostic Management Group, Llc
Boulevard Diagnostic Management Group, Llc is an health care organization with primary practice located at 3120 W Southlake Blvd , Southlake TX 76092-6783. The organization recently has only one registered license in Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), which is considered as the primary health care specialty. Boulevard Diagnostic Management Group, Llc can be contacted via phone (817) 741-0808, or through Waller, James Aubrey via phone (817) 528-7044.

Contact Information

Primary practice address
3120 W Southlake Blvd Southlake TX 76092-6783
Phone: (817) 741-0808
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Waller, James Aubrey
Phone: (817) 528-7044

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X

Profile Details

NPI number 1194061135
LBN Legal business name Boulevard Diagnostic Management Group, Llc
DBA Doing business as
Authorized official Waller, James Aubrey
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2012
Last updated Dec 19th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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