Organization
ILLUME DIAGNOSTIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENUKA SHAH (BILLING SPECIALIST)
(817) 455-5755
Entity
Organization
Contact information
Practice address
2600 8TH AVE, FORT WORTH, TX 76110-3054
(817) 233-3505
Mailing address
6514 FANNIN FARM WAY, ARLINGTON, TX 76001-5802
(817) 233-3505
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
04/27/2026
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