Provider Demographics
NPI:1275545220
Name:IMAGEMAKER INC
Entity Type:Organization
Organization Name:IMAGEMAKER INC
Other - Org Name:CEDAR HILL IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:TYMERIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-291-6888
Mailing Address - Street 1:318 W. BELTLINE RD.
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2007
Mailing Address - Country:US
Mailing Address - Phone:972-291-6888
Mailing Address - Fax:972-291-6883
Practice Address - Street 1:318 W. BELTLINE RD.
Practice Address - Street 2:SUITE 301
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2007
Practice Address - Country:US
Practice Address - Phone:972-291-6888
Practice Address - Fax:972-291-6883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty