NPI age
14 years
Enumerated 2011-12-20
● Active Type 2 · Organization
Subpart
Legacy Medical Imaging
Legacy Medical Imaging is 1 of 640 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Madsen
Chief Operations Officer
Last NPPES update
2011-12-20
Source: monthly bulk 2026-05
How this organization compares
Across 640 active clinic/center providers in Texas.
NPI age
14 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-12Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
601 W Hwy 6, Suite 104
Waco, TX 767105591
Mailing address
1905 Sw H K Dodgen Loop
Temple, TX 765021814
Authorized official
Jim Madsen
Chief Operations Officer
📞 2542982490
Individual providers at this organization
9 individual providers on file at this primary practice address.
- John Bagnasco, M.D. Obstetrics & Gynecology NPI 1114935483
- Noelle Baker, M.D. Obstetrics & Gynecology NPI 1265792964
- Brian Becker, MD Obstetrics & Gynecology NPI 1811001001
- Cary Chisholm, M.D. Pathology NPI 1346498755
- Catherine Conner, MD Pediatrics NPI 1669676227
- Makenzie Kothmann, MD Obstetrics & Gynecology NPI 1235793514
- Mark Moore, MD Obstetrics & Gynecology NPI 1255445458
- Daniel Smith, D.O. Pathology NPI 1063774214
- Cristina Truman, NP Nurse Practitioner NPI 1568576684
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
Subpart of Physicians Of King'S Daughters, PA.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.