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General NPI Number Information
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NPI Number | 1629136346
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC MANAGEMENT GROUP LTD
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4800 S TREADAWAY BLVD
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City | ABILENE
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State | TX
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Zip | 79602-7814
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Country | US
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Telephone | 325-692-6988
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Fax | 325-692-6483
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Provider Business Mailing Address
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Address Line | PO BOX 3452
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City | ABILENE
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State | TX
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Zip | 79604-3452
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Country | US
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Telephone | 325-692-6988
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Fax | 325-692-6483
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Authorized Official
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Title or Position | CEO PRESIDENT
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Name | STEPHEN C LEE
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Credential |
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Telephone | 325-692-6988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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