Provider Demographics
NPI:1477296085
Name:CLEAR CHOICE IMAGING OF ROCKWALL LLC
Entity Type:Organization
Organization Name:CLEAR CHOICE IMAGING OF ROCKWALL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR DIR OF REV CYCLE MGMT
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-202-5179
Mailing Address - Street 1:9990 DALLAS PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4135
Mailing Address - Country:US
Mailing Address - Phone:469-887-4624
Mailing Address - Fax:
Practice Address - Street 1:2823 MARKET CENTER DR
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6565
Practice Address - Country:US
Practice Address - Phone:469-887-4624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography
No293D00000XLaboratoriesPhysiological Laboratory