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Organization
MAXUM HEALTH SERVICES CORP
Active
Organization
MAXUM HEALTH SERVICES CORP
Active
Other names
InSight Diagnostics Center - Forest Lane
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES F. STANLEY (CHIEF FINANCIAL OFFICER; TREASURER)
(949) 282-6000
Entity
Organization
Contact information
Practice address
11617 N CENTRAL EXPY, STE 132, DALLAS, TX 75243-3800
(214) 369-3795
(214) 692-7953
Mailing address
PO BOX 848074, DALLAS, TX 75284-8074
(949) 282-6000
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130085706
—
TX
01
—
470000639
RAILROAD MEDICARE
TX
Enumeration date
04/28/2006
Last updated
08/20/2012
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