Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MEDIVEST DENTON, LP
Active
Organization
MEDIVEST DENTON, LP
Active
Other names
Monticello Diagnostic Imaging of Decatur
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA MECHELLE HOLDER (PRACTICE ADMINISTRATOR)
(817) 377-3800
Entity
Organization
Contact information
Practice address
1713 S FM 51 # 104, DECATUR, TX 76234-3642
(817) 377-3800
(817) 377-3801
Mailing address
3712 W 7TH ST, FORT WORTH, TX 76107-2536
(817) 202-5179
(817) 377-3801
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
01/13/2022
Last updated
12/27/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers