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Boulevard Diagnostic Mgmt Group

Radiology Clinic/Center in Southlake, TX · enumerated 2012 · authorized official James Waller, Operations Manager.

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

National Provider Identifier

1922343342

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Registry record

Entity type Organization (Type 2)
Legal business name Boulevard Diagnostic Mgmt Group
Practice address 3120 W Southlake Blvd # 140, Southlake, TX, 76092
Fax (817) 741-0841
Enumeration date Dec 11, 2012
Last updated in NPPES Dec 11, 2012

Taxonomy & classification

261QR0200X Radiology Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name James Waller
Title Operations Manager

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.

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Frequently asked questions

What is the NPI number for Boulevard Diagnostic Mgmt Group?
The NPI for Boulevard Diagnostic Mgmt Group is 1922343342, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Boulevard Diagnostic Mgmt Group?
NPPES lists James Waller (Operations Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-11.