Provider Demographics
NPI:1477726123
Name:MID-CITIES IMAGING, L.P.
Entity Type:Organization
Organization Name:MID-CITIES IMAGING, L.P.
Other - Org Name:MID CITIES IMAGING, DESOTO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ARDELL
Authorized Official - Middle Name:K
Authorized Official - Last Name:ARCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-498-1963
Mailing Address - Street 1:PO BOX 835885
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75083-5885
Mailing Address - Country:US
Mailing Address - Phone:972-498-1963
Mailing Address - Fax:972-498-1965
Practice Address - Street 1:201 N I 35 E
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-5225
Practice Address - Country:US
Practice Address - Phone:972-274-3175
Practice Address - Fax:972-498-1965
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MID CITIES IMAGING, LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-02
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Single Specialty