NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

BROAD PARK IMAGING, LLC
LBN ELITE VIEW IMAGING, LLC

Radiology

Contact Information

BROAD PARK IMAGING, LLC
LBN ELITE VIEW IMAGING, LLC
1750 BROAD PARK CIR S
SUITE 300
MANSFIELD, TX76063-7832
 Phone: 682-200-2517
 Fax: 682-200-2518
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiology

261QR0200X
Indicates primary specialty

NPI Profile & details for BROAD PARK IMAGING, LLC

NPI Number 1497198147
LBN Legal business name ELITE VIEW IMAGING, LLC
DBA Doing business as BROAD PARK IMAGING, LLC
Authorized official JAMES WALLER - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/12/2013
Last updated 04/12/2013 - About 3 years ago
Identifiers
TX License # R33761-000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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