Provider Demographics
NPI:1265485221
Name:E PLUS PET IMAGING V LP
Entity Type:Organization
Organization Name:E PLUS PET IMAGING V LP
Other - Org Name:PET IMAGING OF DALLAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO OF GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RHYMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-467-7415
Mailing Address - Street 1:8333 DOUGLAS AVE
Mailing Address - Street 2:SUITE C-20
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-5845
Mailing Address - Country:US
Mailing Address - Phone:214-373-4200
Mailing Address - Fax:214-373-4204
Practice Address - Street 1:8333 DOUGLAS AVE
Practice Address - Street 2:SUITE C-20
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-5845
Practice Address - Country:US
Practice Address - Phone:214-373-4200
Practice Address - Fax:214-373-4204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00072932OtherRRMEDICARE
TX0371DCOtherBLUE CROSS/BLUE SHIELD
FTN017Medicare ID - Type Unspecified