Provider Demographics
NPI:1750777181
Name:ALINA'S MEDICAL DIAGNOSTIC MANAGEMENT CENTER INC
Entity type:Organization
Organization Name:ALINA'S MEDICAL DIAGNOSTIC MANAGEMENT CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAISBAYEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-814-0930
Mailing Address - Street 1:3401 CUSTER RD
Mailing Address - Street 2:SUITE 141
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-7599
Mailing Address - Country:US
Mailing Address - Phone:469-814-0930
Mailing Address - Fax:
Practice Address - Street 1:3401 CUSTER RD
Practice Address - Street 2:SUITE 141
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-7599
Practice Address - Country:US
Practice Address - Phone:469-814-0930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-13
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile