Provider Demographics
NPI:1275799215
Name:DALLAS DIAGNOSTICS & IMAGING LLC
Entity Type:Organization
Organization Name:DALLAS DIAGNOSTICS & IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GULNAR
Authorized Official - Middle Name:HAQ
Authorized Official - Last Name:NAWAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-227-7799
Mailing Address - Street 1:11520 NORTH CENTRAL EXPRESSWAY,
Mailing Address - Street 2:SUITE 154
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243
Mailing Address - Country:US
Mailing Address - Phone:214-227-7799
Mailing Address - Fax:
Practice Address - Street 1:11520 NORTH CENTRAL EXPRESSWAY,
Practice Address - Street 2:SUITE 154
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243
Practice Address - Country:US
Practice Address - Phone:214-227-7799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile