E PLUS PET IMAGING XII LP NPI 1619922184

NPI Information

NPI: 1619922184
Provider Name: E PLUS PET IMAGING XII LP

Doing Business As: PET IMAGING OF DALLAS-NORTHEAST

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1250 R NORTHWEST HIGHWAY
GARLAND, TX
ZIP 75041
Phone: (972) 279-5172
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E PLUS PET IMAGING XII LP is a radiology clinic center in Garland, TX. E PLUS PET IMAGING XII LP NPI is 1619922184. The provider is registered as an organization entity type.
The provider Is Doing Business As Pet Imaging Of Dallas-northeast.

The provider's business location address is:

1250 R NORTHWEST HIGHWAY
GARLAND, TX
ZIP 75041-851
Phone: (972) 279-5172
Fax: (972) 279-6948

The provider's authorized official is Robert Rhymer .
The authorized official title is Coo Of General Partner and has the following contact phone number (615) 467-7415.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 6/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00262810	OTHER		RRMEDICARE
2	0462DC	OTHER	TEXAS	BLUE CROSS/BLUE SHIELD
3	FTN028	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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