Carroll Ave Imaging LLC
Clinic/Center, Multi-Specialty in Dallas, TX. Organization (NPI-2).
NPI number1467006338
StatusActive
Last updated in NPPESMay 14, 2025
Details
- NPI
- 1467006338
- Entity type
- Organization (NPI-2)
- Legal business name
- Carroll Ave Imaging LLC
- Organization subpart
- No
- Enumeration date
- Jul 30, 2019
- Certification date
- May 14, 2025
- Last updated
- May 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 2080A0000X | Pediatrics, Adolescent Medicine | – | – | |
| 213E00000X | Podiatrist | – | – | |
| 213ES0000X | Podiatrist, Sports Medicine | – | – | |
| 261QM1200X | Clinic/Center, Magnetic Resonance Imaging (MRI) | – | – | |
| 261QR0200X | Clinic/Center, Radiology | – | – |
Practice location
1015 N Carroll Ave Ste 2000Dallas, TX 75204-6607
Phone 214-504-3487 · Fax 214-824-7755
Mailing address
1015 N Carroll Ave Ste 2001Dallas, TX 75204-6613
Phone 214-504-3487 · Fax 214-824-7755
Other practice locations
1015 N Carroll Ave Ste 2001
Dallas, TX 75204-6613
Dallas, TX 75204-6613
Phone 972-921-8844 · Fax 214-824-7755
Authorized official
James McCarty
Owner
2145043487
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