National Provider Identifier Database

MOODY DIAGNOSTICS INC
Sonography Radiologic Technologist

A radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols, radiation safety, and patient care.


Contact Information

MOODY DIAGNOSTICS, INC.
104 TRINITY PLACE
PALESTINE, TX75801
Phone: 903-723-5345
Fax: 903-723-5343
Website:
Specialty Taxonomy Code
* Sonography Radiologic Technologist 2471S1302X

* Indicates primary specialty

NPI Profile & details for MOODY DIAGNOSTICS, INC.

NPI Number 1427101955
Legal business name
LBN
MOODY DIAGNOSTICS, INC.
Authorized official JEFFREY MOODY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/19/2007
Last updated 07/26/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 146693001
  • TX Other: 0013DC BCBS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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