DECATUR DIAGNOSTICS PLLC – NPI #1912622994
Radiology

A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.

DECATUR DIAGNOSTICS PLLC is a radiologist located in FRISCO, TX. NPPES has assigned the NPI number 1912622994 to DECATUR DIAGNOSTICS PLLC on October 11, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085D0003X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Neuroimaging

The NPI profile was last updated on Oct 31, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DECATUR DIAGNOSTICS PLLC below.

NPI Profile for
DECATUR DIAGNOSTICS PLLC

NPI Number
1912622994
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DECATUR DIAGNOSTICS PLLC
Primary location
5616 WARREN PKWY SUITE 100
FRISCO, TX 75034
Phone: (972) 999-1659 Fax:
Mailing address
11625 CUSTER RD STE 110
FRISCO, TX 75035-8784
Phone: (972) 999-1659 Fax:
Organization Subpart
No
Authorized Official
DAVID CLARK
BILLING MANAGER
Phone: (972) 999-1659
Updated
Certification Date
Oct 03, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085D0003X
- Radiology / Diagnostic Neuroimaging (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.