Boulevard Diagnostic Mgmt Group

LBN: Boulevard Diagnostic Mgmt Group
Boulevard Diagnostic Mgmt Group is an health care organization with primary practice located at 3120 W Southlake Blvd # 140 , Southlake TX 76092-6783. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Boulevard Diagnostic Mgmt Group can be contacted via phone (817) 741-0808, or through Waller, James via phone (817) 741-0808.

Contact Information

Primary practice address
3120 W Southlake Blvd # 140 Southlake TX 76092-6783
Phone: (817) 741-0808
Fax: (817) 741-0841
Website:
Map and Directions
Authorized official contact:
Name: Waller, James
Phone: (817) 741-0808

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1922343342
LBN Legal business name Boulevard Diagnostic Mgmt Group
DBA Doing business as
Authorized official Waller, James
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2012
Last updated Dec 11th, 2012 - about 12 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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