Provider Demographics
NPI:1649572736
Name:DIGITAL DIAGNOSTIC IMAGING, INC.
Entity Type:Organization
Organization Name:DIGITAL DIAGNOSTIC IMAGING, INC.
Other - Org Name:DDI, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ELVIS
Authorized Official - Last Name:GUINN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-984-8559
Mailing Address - Street 1:2737 S HULEN ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-9535
Mailing Address - Country:US
Mailing Address - Phone:817-984-8559
Mailing Address - Fax:817-984-8563
Practice Address - Street 1:2737 S HULEN ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-9535
Practice Address - Country:US
Practice Address - Phone:817-984-8559
Practice Address - Fax:817-984-8563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-23
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty