MEDICARE: ONEIMAGING MEDICAL SERVICES CO PC

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	171M00000X	Case Manager/Care Coordinator
2	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1467393496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONEIMAGING MEDICAL SERVICES CO PC

Provider Business Mailing Address
First Line	:	3723 GREENVILLE AVE STE 41248
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-5311
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3723 GREENVILLE AVE STE 41248
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-5311
Country	:	US
Telephone Number	:	833-619-0837
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	YEJOON CHUNG
Credential	:
Telephone Number	:	616-226-3999

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	04/06/2026

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