1932362159 NPI number — DALLAS IMAGING SOLUTIONS LLC

Table of content: (NPI 1932362159)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932362159 NPI number — DALLAS IMAGING SOLUTIONS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DALLAS IMAGING SOLUTIONS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ONE WEST HILLS OPEN MRI
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932362159
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/08/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5787 S HAMPTON RD
Provider Second Line Business Mailing Address:
SUITE 110
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75232-2255
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-333-7600
Provider Business Mailing Address Fax Number:
214-333-7605

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1555 RAINIER FALLS DR NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30329-4105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-329-0143
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/08/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GLASER
Authorized Official First Name:
ANNE
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
MEMBER
Authorized Official Telephone Number:
404-329-0143

Provider Taxonomy Codes

  • Taxonomy code: 261QR0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)