Healthcare Provider Details
I. General information
NPI: 1245400159
Provider Name (Legal Business Name): RELIANCE IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/06/2008
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4337 LINDBERGH DR
ADDISON TX
75001-4539
US
IV. Provider business mailing address
2101 SHANNON OXMOOR RD # 67
SHANNON AL
35142-2000
US
V. Phone/Fax
- Phone: 972-224-1329
- Fax: 205-847-5262
- Phone: 888-212-4243
- Fax: 205-847-5262
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085U0001X |
| Taxonomy | Diagnostic Ultrasound Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
SAI
K
RAVI
Title or Position: OWNER/ADMINISTRATOR
Credential: RVT, RDMS, RDCS
Phone: 972-224-1329