# EZ MOBILE DIAGNOSTIC SERVICES MANAGEMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609272236
- **Authorized official:** MR. ROMA AGASYAN (OWNER)
- **Authorized official phone:** (972) 975-7977

## Contact information

- **Practice address:** 3401 CUSTER RD, STE 170, PLANO, TX 75023-7599
- **Practice address phone:** (972) 975-7977
- **Practice address fax:** (214) 299-9329
- **Mailing address:** 3401 CUSTER RD, STE 170, PLANO, TX 75023-7599
- **Mailing address phone:** (972) 975-7977
- **Mailing address fax:** (214) 299-9329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |
| 261QR0208X | Mobile Radiology Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 11/10/2014
- **Last updated:** 12/18/2014