National Provider Identifier Database

ILLUME DIAGNOSTIC IMAGING LLC
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

ILLUME DIAGNOSTIC IMAGING LLC
2600 8TH AVE
FORT WORTH, TX76110-3054
Phone: 817-233-3505
Fax:
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for ILLUME DIAGNOSTIC IMAGING LLC

NPI Number 1821937368
Legal business name
LBN
ILLUME DIAGNOSTIC IMAGING LLC
Authorized official RENUKA SHAH - (BILLING SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 03/27/2026
Last updated 04/27/2026 - About a month ago
Sole proprietor1 Not specified
Identifiers n/a

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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