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Organization
SWDIC IMAGING CENTER PARTNERSHIP, LLP
Active
Organization
SWDIC IMAGING CENTER PARTNERSHIP, LLP
Active
Other names
Southwest Diagnostic Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP COLLINS (DIRECTOR, BUS. SVCS)
(214) 345-4141
Entity
Organization
Contact information
Practice address
8230 WALNUT HILL LN, SUITE 100, DALLAS, TX 75231-4482
(214) 345-4141
(214) 345-2099
Mailing address
8230 WALNUT HILL LN, SUITE 100, DALLAS, TX 75231-4482
(214) 345-6905
(214) 345-2099
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
R18642
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019CC
IDTF BLUE CROSS OF TEXAS
TX
05
—
141643001
—
TX
05
—
141643002
—
TX
01
—
470001463
RAILROAD MEDICARE
TX
01
—
MDD0438
IDTF WORKERS COMP
TX
Enumeration date
06/23/2005
Last updated
05/06/2013
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