# PROSCAN MEDICAL IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eclipse Medical Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366630196
- **Authorized official:** MR. GAIL S MAYFIELD (MBR)
- **Authorized official phone:** (817) 992-4866

## Contact information

- **Practice address:** 6805 NE LOOP 820, SUITE 407, NORTH RICHLAND HILLS, TX 76180-6687
- **Practice address phone:** (817) 992-4866
- **Mailing address:** 6805 NE LOOP 820, SUITE 407, NORTH RICHLAND HILLS, TX 76180-6687
- **Mailing address phone:** (817) 992-4866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2007
- **Last updated:** 10/05/2007