Healthcare Provider Details

I. General information

NPI: 1750193272
Provider Name (Legal Business Name): VIRTUSCAN IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 US HIGHWAY 80 E STE 455
MESQUITE TX
75150-3355
US

IV. Provider business mailing address

311 SILVER CREEK TRL
SUNNYVALE TX
75182-3268
US

V. Phone/Fax

Practice location:
  • Phone: 972-903-5148
  • Fax:
Mailing address:
  • Phone: 972-903-5148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. DARLENE ROBINSON
Title or Position: OWNER
Credential:
Phone: 972-903-5148