Provider Demographics
NPI:1063006336
Name:PRIME DIAGNOSTIC IMAGING OF PLANO LLC
Entity Type:Organization
Organization Name:PRIME DIAGNOSTIC IMAGING OF PLANO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARKETING ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:HELLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-341-8770
Mailing Address - Street 1:PO BOX 821868
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75382-1868
Mailing Address - Country:US
Mailing Address - Phone:214-341-8770
Mailing Address - Fax:214-341-1603
Practice Address - Street 1:6000 W SPRING CREEK PKWY STE 150
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-4111
Practice Address - Country:US
Practice Address - Phone:214-341-8770
Practice Address - Fax:214-341-1603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology