NPI age
20 years
Enumerated 2005-08-11
● Active Type 2 · Organization
Permian Basin Radiology, Llc
Permian Basin Radiology, Llc is 1 of 3776 radiology organizations in Texas.
Primary specialty
Radiology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kelly
Practice Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 3776 active radiology providers in Texas.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
800 E 7th St
Odessa, TX 797614612
Mailing address
Po Box 1268
Odessa, TX 797601268
Authorized official
John M Kelly
Practice Manager
📞 4325804290
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0006KP | BLUE CROSS BLUE SHIELD |
| 01 (TX) | DA3771 | RAILROAD MEDICARE |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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