Provider Demographics
NPI:1740274166
Name:TOUCHSTONE IMAGING OF MESQUITE, LP
Entity type:Organization
Organization Name:TOUCHSTONE IMAGING OF MESQUITE, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:RICE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:615-661-9200
Mailing Address - Street 1:PO BOX 116662
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-6662
Mailing Address - Country:US
Mailing Address - Phone:972-216-4411
Mailing Address - Fax:972-216-7346
Practice Address - Street 1:8070 PARK LN
Practice Address - Street 2:SUITE 109
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5906
Practice Address - Country:US
Practice Address - Phone:214-346-0260
Practice Address - Fax:214-346-0261
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOUCHSTONE MEDICAL IMAGING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-08-31
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0346DCOtherBLUECROSSBLUESHIEL OF TX
TX75231OtherCHAMPUS
TX170264902Medicaid
TX170264901Medicaid
TXP00188436OtherPALMETTO GBA
TX0346DCOtherBLUECROSSBLUESHIEL OF TX
TXP00188436OtherPALMETTO GBA