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NPI Code Detail

MEDICARE: DIAGNOSTIC IMAGE PLUS INC.

MEDICARE: DIAGNOSTIC IMAGE PLUS INC.
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
1246W00000XCardiology Technician
2246XS1301XSonography Specialist/Technologist Cardiovascular
32471B0102XBone Densitometry Radiologic Technologist
42471S1302XSonography Radiologic Technologist
52471V0105XVascular Sonography Radiologic Technologist
6247100000XRadiologic Technologist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00295618OTHERTXRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2R29810OTHERTXTEXAS RADIATION LICENCE

General Provider Information

NPI Number : 1528457769
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIAGNOSTIC IMAGE PLUS INC.
Provider Business Mailing Address
First Line : 3022 MOTLEY DR
Second Line :
City : MESQUITE
State : TX
Zip : 75150-3440
Country : US
Telephone Number : 972-613-0555
Fax Number : 972-613-0546
Provider Business Practice Location Address
First Line : 8210 WALNUT HILL LN STE 304
Second Line :
City : DALLAS
State : TX
Zip : 75231-4419
Country : US
Telephone Number : 972-685-2727
Fax Number : 972-685-2726
Authorized Official
Title or Position : OPERATIONS DIRECTOR
Name : MR. VARGHESE RAJU
Credential :
Telephone Number : 972-613-0555
Provider Enumeration Date : 01/12/2015
Last Update Date : 01/12/2015

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Directions to “DIAGNOSTIC IMAGE PLUS INC. ” Practice Location

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