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General NPI Number Information
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NPI Number | 1215861539
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Entity Type | Organization
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Legal Business Name | LONE STAR PET IMAGING LLC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 7273 HAWKINS VIEW DR
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City | FORT WORTH
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State | TX
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Zip | 76132-3921
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Country | US
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Telephone | 817-480-1577
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Fax |
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Provider Business Mailing Address
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Address Line | 5948 W PARKER RD STE 200
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City | PLANO
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State | TX
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Zip | 75093-7732
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | AMIR RANA
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Credential |
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Telephone | 817-480-1577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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