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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.

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Contact Information

ILLUME DIAGNOSTIC IMAGING LLC
2600 8TH AVE
FORT WORTH, TX  76110-3054
 Phone: 817-233-3505
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

 247100000X
Indicates primary specialty

NPI Profile & details for ILLUME DIAGNOSTIC IMAGING LLC

NPI Number 1821937368
LBN Legal business name ILLUME DIAGNOSTIC IMAGING LLC
Authorized official RENUKA SHAH - (BILLING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2026
Last updated 04/27/2026 - About a month ago
Identifiers n/a
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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