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General NPI Number Information
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NPI Number | 1740373497
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Entity Type | Organization
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Legal Business Name | MDIAGNOSTICS
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2701 S. HAMPTON RD SUITE 150
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City | DALLAS
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State | TX
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Zip | 75224
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Country | US
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Telephone | 214-339-8200
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Fax | 214-339-2807
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Provider Business Mailing Address
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Address Line | 3500 N. CAUSEWAY BLVD SUITE 1000
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City | METAIRIE
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State | LA
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Zip | 70002
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Country | US
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Telephone | 504-838-1200
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Fax | 504-838-1239
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MR. CAMERON C CALHOUN
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Credential |
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Telephone | 504-838-1200
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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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