MEDICARE: MRI CENTERS OF TEXAS LLC-ARLINGTON SERIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1235675885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MRI CENTERS OF TEXAS LLC-ARLINGTON SERIES

Provider Business Mailing Address
First Line	:	PO BOX 224852
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75222-4852
Country	:	US
Telephone Number	:	817-226-1800
Fax Number	:	817-226-1802

Provider Business Practice Location Address
First Line	:	1015 W RANDOL MILL RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-2513
Country	:	US
Telephone Number	:	817-226-1800
Fax Number	:	817-226-1802

Authorized Official
Title or Position	:	CEO
Name	:	MRS. ARDELLE ARCHER
Credential	:
Telephone Number	:	214-466-1054

Provider Enumeration Date	:	01/06/2017
Last Update Date	:	01/09/2017

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