ILLUME DIAGNOSTIC IMAGING LLC – NPI #1821937368
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.

Health Care Provider Taxonomy Code for Radiologic Technologist

ILLUME DIAGNOSTIC IMAGING LLC is a radiologic technologist located in FORT WORTH, TX. NPPES recently assigned the NPI number 1821937368 to ILLUME DIAGNOSTIC IMAGING LLC on March 27, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 last updated on Apr 27, 2026. 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 ILLUME DIAGNOSTIC IMAGING LLC below.

NPI Profile for
ILLUME DIAGNOSTIC IMAGING LLC

NPI Number
1821937368
Enumeration Date

(about 2 months 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
ILLUME DIAGNOSTIC IMAGING LLC
Primary location
2600 8TH AVE
FORT WORTH, TX 76110-3054
Phone: (817) 233-3505 Fax:
Mailing address
6514 FANNIN FARM WAY
ARLINGTON, TX 76001-5802
Phone: (817) 233-3505 Fax:
Organization Subpart
No
Authorized Official
RENUKA SHAH
BILLING SPECIALIST
Phone: (817) 455-5755
Updated
Certification Date
Apr 27, 2026

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
247100000X
- Radiologic Technologist (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.