Boulevard Diagnostic Management Group, LLC
NPI 1194061135 · Magnetic Resonance Imaging (MRI) Clinic/Center · Southlake, TX
Boulevard Diagnostic Management Group, LLC is a Magnetic Resonance Imaging (MRI) Clinic/Center organization in Southlake, TX (NPI 1194061135).
Provider details
- NPI number
- 1194061135
- Entity type
- Organization
- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Waller, Managing Manager(817) 528-7044
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-12-19
- Last updated
- 2012-12-19
Frequently asked questions
- What is Boulevard Diagnostic Management Group, LLC's NPI number?
- Boulevard Diagnostic Management Group, LLC's National Provider Identifier (NPI) is 1194061135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boulevard Diagnostic Management Group, LLC?
- Boulevard Diagnostic Management Group, LLC is classified in the NPPES registry as Magnetic Resonance Imaging (MRI) Clinic/Center (Ambulatory Health Care Facilities).
- Where is Boulevard Diagnostic Management Group, LLC located?
- Boulevard Diagnostic Management Group, LLC's practice location on file with NPPES is 3120 W Southlake Blvd, Southlake, TX 76092-6783.
- What is Boulevard Diagnostic Management Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Boulevard Diagnostic Management Group, LLC is (817) 741-0808.
- Who is the authorized official for Boulevard Diagnostic Management Group, LLC?
- The authorized official listed on Boulevard Diagnostic Management Group, LLC's NPPES record is James Waller, Managing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boulevard Diagnostic Management Group, LLC's NPI active?
- Yes — Boulevard Diagnostic Management Group, LLC's NPI (1194061135) is active in the NPPES registry as of the last update on 2012-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.