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Organization
CENTER FOR MOLECULAR IMAGING LIMITED PARTNERSHIP
Active
Organization
CENTER FOR MOLECULAR IMAGING LIMITED PARTNERSHIP
Active
Other names
Southwest Diagnostic Center for Molecular Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERENA LYNN CORNICK-CHIN (MANAGED CARE COORDINATOR)
(214) 345-5063
Entity
Organization
Contact information
Practice address
8196 WALNUT HILL LN, SUITE LL30, DALLAS, TX 75231-7227
(214) 345-8300
(214) 345-2099
Mailing address
8196 WALNUT HILL LN, SUITE LL30, DALLAS, TX 75231-7227
(214) 345-8300
(214) 345-2099
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
L05715
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0366DC
IDTF BLUE CROSS
TX
05
—
162648301
—
TX
Enumeration date
06/23/2005
Last updated
07/30/2025
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