NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Boulevard Diagnostic Management Group, LLC

Magnetic Resonance Imaging (MRI) Clinic/Center in Southlake, TX · enumerated 2012 · authorized official James Waller, Managing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194061135

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Boulevard Diagnostic Management Group, LLC
Practice address 3120 W Southlake Blvd, Southlake, TX, 76092
Phone (817) 741-0808
Enumeration date Dec 19, 2012
Last updated in NPPES Dec 19, 2012

Taxonomy & classification

261QM1200X Magnetic Resonance Imaging (MRI) Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name James Waller
Title Managing Manager
Phone (817) 528-7044

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Boulevard Diagnostic Management Group, LLC?
NPPES lists James Waller (Managing Manager) as the authorized official for this organization.
What is the NPI number for Boulevard Diagnostic Management Group, LLC?
The NPI for Boulevard Diagnostic Management Group, LLC is 1194061135, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-19.