# CENTER FOR MOLECULAR IMAGING LIMITED PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southwest Diagnostic Center for Molecular Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568468676
- **Authorized official:** MS. SHERENA LYNN CORNICK-CHIN (MANAGED CARE COORDINATOR)
- **Authorized official phone:** (214) 345-5063

## Contact information

- **Practice address:** 8196 WALNUT HILL LN, SUITE LL30, DALLAS, TX 75231-7227
- **Practice address phone:** (214) 345-8300
- **Practice address fax:** (214) 345-2099
- **Mailing address:** 8196 WALNUT HILL LN, SUITE LL30, DALLAS, TX 75231-7227
- **Mailing address phone:** (214) 345-8300
- **Mailing address fax:** (214) 345-2099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | L05715 | TX | Yes |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 07/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0366DC | IDTF BLUE CROSS | TX |
| 05 | — | 162648301 | — | TX |