# E PLUS PET IMAGING XII LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PET Imaging of Dallas-Northeast
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619922184
- **Authorized official:** CHAOQIANG LIN (EXECUTIVE VICE PRESIDENT & CFO)
- **Authorized official phone:** (214) 587-4079

## Contact information

- **Practice address:** 1250 R NORTHWEST HIGHWAY, GARLAND, TX 75041-5851
- **Practice address phone:** (972) 279-5172
- **Practice address fax:** (972) 279-6948
- **Mailing address:** 1250 NORTHWEST HWY STE R, GARLAND, TX 75041-5842
- **Mailing address phone:** (972) 279-5172
- **Mailing address fax:** (972) 279-6948

## Taxonomy

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

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 12/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0462DC | BLUE CROSS/BLUE SHIELD | TX |
| 01 | — | P00262810 | RRMEDICARE | — |