MEDICARE: A1 IMAGING OF GARLAND LLC

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	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number	:	1285894337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A1 IMAGING OF GARLAND LLC

Provider Business Mailing Address
First Line	:	100 BAYVIEW CIR
Second Line	:	SUITE 250
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2983
Country	:	US
Telephone Number	:	949-336-4336
Fax Number	:	949-336-4346

Provider Business Practice Location Address
First Line	:	325 N SHILOH RD
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75042-6610
Country	:	US
Telephone Number	:	972-494-6745
Fax Number	:	972-494-6788

Authorized Official
Title or Position	:	SENIOR VICE PRESIDENT
Name	:	ALAN BABITZ
Credential	:
Telephone Number	:	949-336-4336

Provider Enumeration Date	:	06/12/2008
Last Update Date	:	06/19/2008

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