Provider Demographics
NPI:1013936921
Name:PLANO AMI LP
Entity Type:Organization
Organization Name:PLANO AMI LP
Other - Org Name:ADVANCED MEDICAL IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:GHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-458-6888
Mailing Address - Street 1:PO BOX 702453
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75370-2453
Mailing Address - Country:US
Mailing Address - Phone:972-596-1000
Mailing Address - Fax:469-916-6432
Practice Address - Street 1:1705 OHIO DR
Practice Address - Street 2:SUITE 300
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5255
Practice Address - Country:US
Practice Address - Phone:972-596-1000
Practice Address - Fax:972-596-1011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR28958261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTX166Medicare ID - Type UnspecifiedPROVIDER NUMBER