MEDICARE: TARRANT DIAGNOSTIC IMAGING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center	L05655	TX

General Provider Information

NPI Number	:	1134345879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TARRANT DIAGNOSTIC IMAGING, LLC

Provider Business Mailing Address
First Line	:	1121 8TH AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4102
Country	:	US
Telephone Number	:	817-335-5370
Fax Number	:	817-335-5318

Provider Business Practice Location Address
First Line	:	1121 8TH AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4102
Country	:	US
Telephone Number	:	817-335-5370
Fax Number	:	817-335-5318

Authorized Official
Title or Position	:	BILLING
Name	:	TERRI SMITH
Credential	:
Telephone Number	:	817-335-5370

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1932166105 — MAXUM HEALTH SERVICES CORP
Practice Location Address:

1199 8TH AVE
FORT WORTH, TX
76104-4102

Practice Phone: 817-335-9729
Practice Fax: 817-877-3868

1881642361 — TERRI LEE ALLEN M.D.
Practice Location Address:

1199 8TH AVE
FORT WORTH, TX
76104-4102

Practice Phone: 817-335-9729
Practice Fax:

1053429753 — PETER BLACKWELL BENTZ P.T.
Practice Location Address:

1109 8TH AVE
FORT WORTH, TX
76104-4102

Practice Phone: 817-338-4220
Practice Fax: 817-338-1639

1194825026 — RICHARD DEAN ASHLOCK PT
Practice Location Address:

1109 8TH AVE
FORT WORTH, TX
76104-4102

Practice Phone: 817-338-4220
Practice Fax:

1598834178 — MR. JEFFREY CHARLES RAU PT, MS, FAAOMPT
Practice Location Address:

1109 8TH AVE
FORT WORTH, TX
76104-4102

Practice Phone: 817-338-4220
Practice Fax: 970-870-8099

1033233036 — INSIGHT HEALTH CORP
Practice Location Address:

1199 8TH AVE
FORT WORTH, TX
76104-4102

Practice Phone: 817-335-9729
Practice Fax: 817-870-9950

Directions to “TARRANT DIAGNOSTIC IMAGING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.