Healthcare Provider Details

I. General information

NPI: 1619922184
Provider Name (Legal Business Name): E PLUS PET IMAGING XII LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 R NORTHWEST HIGHWAY
GARLAND TX
75041-5851
US

IV. Provider business mailing address

1250 NORTHWEST HWY STE R
GARLAND TX
75041-5842
US

V. Phone/Fax

Practice location:
  • Phone: 972-279-5172
  • Fax: 972-279-6948
Mailing address:
  • Phone: 972-279-5172
  • Fax: 972-279-6948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHAOQIANG LIN
Title or Position: EXECUTIVE VICE PRESIDENT & CFO
Credential:
Phone: 214-587-4079