OrganizationActive
Illume Diagnostic Imaging LLC
NPI 1821937368 · Radiologic Technologist · Fort Worth, TX
Provider details
- NPI number
- 1821937368
- Entity type
- Organization
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Renuka Shah, Billing Specialist(817) 455-5755
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
2600 8th Ave
Fort Worth, TX 76110-3054
Phone: (817) 233-3505
Approximate (ZIP-level) locationGet directions
Mailing address
6514 Fannin Farm Way
Arlington, TX 76001-5802
Registry dates
- Enumerated
- 2026-03-27
- Last updated
- 2026-04-27
- Certified
- 2026-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.