Organization · Type 2 NPI
Illume Diagnostic Imaging LLC
Radiologic Technologist · Fort Worth, TX
NPI number
1821937368
Active
Practice location
2600 8th Ave
Fort Worth, TX 76110-3054
Mailing address
6514 Fannin Farm Way
Arlington, TX 76001-5802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiologic Technologist Primary | 247100000X | None listed |
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.
About NPI 1821937368
Illume Diagnostic Imaging LLC's National Provider Identifier is 1821937368, issued on Mar 27, 2026. The primary taxonomy on file is Radiologic Technologist (247100000X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 27, 2026.