Healthcare Provider Details

I. General information

NPI: 1790767101
Provider Name (Legal Business Name): NUMED IMAGING CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2005
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 W RIDGEWAY SUITE 280
CLEBURNE TX
76033
US

IV. Provider business mailing address

PO BOX 1098
DENTON TX
76202-1098
US

V. Phone/Fax

Practice location:
  • Phone: 817-645-6856
  • Fax: 817-645-7854
Mailing address:
  • Phone: 940-365-5700
  • Fax: 940-365-5077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471N0900X
TaxonomyNuclear Medicine Technology Radiologic Technologist
License NumberL05762
License Number StateTX

VIII. Authorized Official

Name: MARSHA L HARRIS
Title or Position: BILLING COORDINATOR/NETWORK MANAGER
Credential:
Phone: 940-365-5700