STAT X-RAY OF TEXAS – NPI #1417052002
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.

STAT X-RAY OF TEXAS is a radiologic technologist located in MESQUITE, TX. NPPES has assigned the NPI number 1417052002 to STAT X-RAY OF TEXAS on September 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 247100000X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist.

The NPI profile was previously updated about 19 years ago on Dec 06, 2007. 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 STAT X-RAY OF TEXAS below.

NPI Profile for
STAT X-RAY OF TEXAS

NPI Number
1417052002
Enumeration Date

(more than 19 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
STAT X-RAY OF TEXAS
Primary location
4124 GUS THOMASSON ROAD
MESQUITE, TX 75150-2226
Phone: (972) 682-0484 Fax: (214) 221-5600
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PARAMPOTTIL ISSAC
OWNER
Phone: (972) 772-4864
Updated
Identifiers

Identifiers for STAT X-RAY OF TEXAS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSTX459840
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
247100000X
- Radiologic Technologist (Primary)
2471S1302X
- Radiologic Technologist / Sonography Radiologic Technologist

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.