# TARRANT DIAGNOSTIC IMAGING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TDI Molecular Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134345879
- **Authorized official:** TERRI SMITH (BILLING)
- **Authorized official phone:** (817) 335-5370

## Contact information

- **Practice address:** 1121 8TH AVE, FORT WORTH, TX 76104-4102
- **Practice address phone:** (817) 335-5370
- **Practice address fax:** (817) 335-5318
- **Mailing address:** 1121 8TH AVE, FORT WORTH, TX 76104-4102
- **Mailing address phone:** (817) 335-5370
- **Mailing address fax:** (817) 335-5318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | L05655 | TX | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 08/22/2020