Provider Demographics
NPI:1003071457
Name:SYNERGY IMAGING, LLC
Entity Type:Organization
Organization Name:SYNERGY IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:AYESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYANY
Authorized Official - Suffix:
Authorized Official - Credentials:MHS
Authorized Official - Phone:214-202-4065
Mailing Address - Street 1:PO BOX 92873
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-0873
Mailing Address - Country:US
Mailing Address - Phone:214-202-4065
Mailing Address - Fax:186-651-0090
Practice Address - Street 1:221 W COLORADO BLVD
Practice Address - Street 2:PAVILION I, SUITE 205
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-2363
Practice Address - Country:US
Practice Address - Phone:214-942-5511
Practice Address - Fax:214-942-5512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile