Provider Demographics
NPI:1679834295
Name:NORTH STAR MCD, LLC
Entity Type:Organization
Organization Name:NORTH STAR MCD, LLC
Other - Org Name:NORTH STAR DIAGNOSTIC IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-954-8001
Mailing Address - Street 1:7600 WINDROSE AVE STE G325
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0167
Mailing Address - Country:US
Mailing Address - Phone:972-649-6460
Mailing Address - Fax:972-649-6461
Practice Address - Street 1:110 MARY LOU DR STE 400
Practice Address - Street 2:
Practice Address - City:WILLOW PARK
Practice Address - State:TX
Practice Address - Zip Code:76087-8767
Practice Address - Country:US
Practice Address - Phone:972-649-6460
Practice Address - Fax:972-649-6461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-30
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology