ADELAIDE DIAGNOSTIC CENTER LLC — NPI 1205933256 (Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) in GARLAND, TX)

CMS-1500 Box 24J / 33a • NPI

1205933256

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2085R0202X (CMS 30)

Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)

Box 32 Service Location & ZIP+4

2692 W WALNUT ST, SUITE #108, GARLAND, TX, 75042-6474

✓ 9-Digit EDI 837 ZIP+4 (75042-6474)

Practice Phone & Referral Fax

(214) 328-3333

Fax: (214) 328-3330

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1205933256 (ADELAIDE DIAGNOSTIC CENTER LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1205933256` (NPI-2 Organization / Facility)
Provider / Legal Name	ADELAIDE DIAGNOSTIC CENTER LLC
Plain-English Specialty	Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) NUCC Code: `2085R0202X` (Radiology, Diagnostic Radiology)
Certifying / Licensing Body	American Board of Radiology (ABR) / FRCR
Practice Location Address	2692 W WALNUT ST, SUITE #108, GARLAND, TX, 75042-6474
Practice Telephone / Fax	Tel: (214) 328-3333 \| Fax: (214) 328-3330
Administrative Mailing Address	1123 WESTMINISTER AVE, MURPHY, TX, 75094-4158
Enumeration & Last Sync	Enumerated: 2006-09-20 \| CMS Record Updated: 2008-02-19
Authorized Official	JACKSON JACOB (General Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2692 W WALNUT ST, SUITE #108, GARLAND, TX, 75042-6474

🗺️ Open in Google Maps 🏥 More Providers in GARLAND

🔒 Are you ADELAIDE DIAGNOSTIC CENTER LLC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (2085R0202X)

What Does Taxonomy Code 2085R0202X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085R0202X translates to:
"Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 30 (Physician/Diagnostic Radiology)
Certifying / Accrediting Authority: American Board of Radiology (ABR) / FRCR
Clinical Scope: Referred by your physician for accurate medical imaging interpretation (Ultrasound, CT, MRI, Mammogram, or X-ray) or image-guided biopsy.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADELAIDE DIAGNOSTIC CENTER LLC)

Typical CPT / Diagnostic Procedures:

Non-Contrast CT KUB for Urolithiasis & Contrast CT Chest/Abdomen/Pelvis
Brain, Spine & Musculoskeletal Magnetic Resonance Imaging (MRI)
Abdominal, Hepatic, Renal, Pelvic & Vascular Doppler Ultrasound
3D Digital Screening & Diagnostic Mammography (BI-RADS Reporting)

Common Therapeutic Classes:

Iodinated Low-Osmolar Intravenous CT Contrast Media (Iohexol, Iopamidol)
Gadolinium-Based MRI Contrast Agents
Barium Sulfate & Oral Gastrografin Gastrointestinal Contrast

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`293D00000X` — Physiological Laboratory Plain English: Licensed & Credentialed Laboratories — Physiological Laboratory	State: N/A \| License: `Verified` \| Primary: Secondary
`2085R0202X` — Radiology, Diagnostic Radiology Plain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)	State: TX \| License: `J6228` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

ADELAIDE DIAGNOSTIC CENTER LLC (NPI #1205933256)