Provider Demographics
NPI:1225214851
Name:CRYSTAL VIEW IMAGING
Entity Type:Organization
Organization Name:CRYSTAL VIEW IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:LANKFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-804-9117
Mailing Address - Street 1:306 BELLMEADE DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-3505
Mailing Address - Country:US
Mailing Address - Phone:972-804-9117
Mailing Address - Fax:972-635-5784
Practice Address - Street 1:306 BELLMEADE DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-3505
Practice Address - Country:US
Practice Address - Phone:972-804-9117
Practice Address - Fax:972-635-5784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Single Specialty