USMD DIAGNOSTIC SERVICES, LLC is a physiological laboratory in Fort Worth, TX. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. USMD DIAGNOSTIC SERVICES, LLC NPI is 1366977449. The provider is registered as an organization entity type.
The provider Other Name Is Usmd Imaging Center At Clearfork.
The provider's business location address is:
5450 CLEARFORK MAIN ST
SUITE 110
FORT WORTH, TX
ZIP 76109-559
Phone: (817) 505-0222
Fax: (817) 510-3690
The provider's authorized official is Richard Coleman Johnston .
The authorized official title is Chief Executive Officer and has the following contact phone number (214) 493-4015.
The CLIA number assigned to this NPI record is 45D2136073 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/26/2017 and was last updated on 4/26/2017.