# WELLMART HEARTLAB INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Viascan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245456219
- **Authorized official:** JOHN DUNCAN (CEO)
- **Authorized official phone:** (972) 739-2840

## Contact information

- **Practice address:** 349 LAS COLINAS BLVD E, SUITE C, IRVING, TX 75039-5557
- **Practice address phone:** (972) 739-2840
- **Practice address fax:** (972) 739-2854
- **Mailing address:** 349 LAS COLINAS BLVD E, SUITE C, IRVING, TX 75039-5557
- **Mailing address phone:** (972) 739-2840
- **Mailing address fax:** (972) 739-2854

## Taxonomy

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

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 06/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | W14K | BCBS | TX |