# AVALON IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356053375
- **Authorized official:** MRS. LYNN W REECE (OWNER)
- **Authorized official phone:** (469) 459-9806

## Contact information

- **Practice address:** 811 CENTRAL DR, ODESSA, TX 79761-4201
- **Practice address phone:** (432) 227-0067
- **Practice address fax:** (432) 400-2599
- **Mailing address:** 4400 STATE HIGHWAY 121 STE 405, LEWISVILLE, TX 75056-4952
- **Mailing address phone:** (972) 808-7810
- **Mailing address fax:** (972) 434-7628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/21/2022
- **Last updated:** 12/21/2022