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Organization
OPEN DIAGNOSTIC IMAGING, LLC
Active
Organization
OPEN DIAGNOSTIC IMAGING, LLC
Active
Other names
WILLOWBEND DIAGNOSTIC IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG CUNNINGHAM (CHIEF OPERATING OFFICER)
(214) 826-8822
Entity
Organization
Contact information
Practice address
5025 W PARK BLVD, SUITE 500, PLANO, TX 75093-2584
(972) 596-1934
(972) 596-4934
Mailing address
5025 W PARK BLVD, SUITE 500, PLANO, TX 75093-2584
(972) 596-1934
(972) 596-4934
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
R25645
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1446932-02
—
TX
Enumeration date
02/22/2006
Last updated
12/30/2008
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