# VANGUARD DIAGNOSTIC, LLC

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

## Provider details

- **NPI number:** 1619502226
- **Authorized official:** CARL WEINKAUF (MANAGER)
- **Authorized official phone:** (214) 534-9325

## Contact information

- **Practice address:** 4303 N CENTRAL EXPY, DALLAS, TX 75205-5597
- **Practice address phone:** (214) 534-9325
- **Mailing address:** 4303 N CENTRAL EXPY, DALLAS, TX 75205-5597
- **Mailing address phone:** (214) 534-9325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/04/2020
- **Last updated:** 03/26/2020