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Organization
MIDTOWN MEDICAL IMAGING - SOUTHLAKE, LLC
Active
Organization
MIDTOWN MEDICAL IMAGING - SOUTHLAKE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD MICHAEL SCOBLE (OWNER)
(817) 898-8800
Entity
Organization
Contact information
Practice address
731 E SOUTHLAKE BLVD STE 105, SOUTHLAKE, TX 76092-6377
(817) 898-8800
Mailing address
731 E SOUTHLAKE BLVD STE 105, SOUTHLAKE, TX 76092-6377
(817) 898-8800
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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