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Organization
PROSCAN MEDICAL IMAGING LLC
Active
Organization
PROSCAN MEDICAL IMAGING LLC
Active
Other names
Eclipse Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAIL S MAYFIELD (MBR)
(817) 992-4866
Entity
Organization
Contact information
Practice address
6805 NE LOOP 820, SUITE 407, NORTH RICHLAND HILLS, TX 76180-6687
(817) 992-4866
Mailing address
6805 NE LOOP 820, SUITE 407, NORTH RICHLAND HILLS, TX 76180-6687
(817) 992-4866
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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