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General NPI Number Information
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NPI Number | 1316822612
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Entity Type | Organization
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Legal Business Name | PERMIAN IMAGING LLC
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 500 E 4TH ST
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City | ODESSA
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State | TX
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Zip | 79761-5110
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Country | US
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Telephone | 432-614-4001
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Fax | 432-363-0952
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Provider Business Mailing Address
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Address Line | 500 E 4TH ST
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City | ODESSA
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State | TX
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Zip | 79761-5110
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Country | US
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Telephone | 432-614-4001
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | BETTY QUIROZ
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Credential |
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Telephone | 432-413-1697
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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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