# PRIME DIAGNOSTIC IMAGING OF FORT WORTH, LLC

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

## Provider details

- **NPI number:** 1790233294
- **Authorized official:** MR. THOMAS HELLMAN (OWNER)
- **Authorized official phone:** (214) 341-8770

## Contact information

- **Practice address:** 6491 SOUTHWEST BLVD., BENBROOK, TX 76132
- **Practice address phone:** (214) 341-8770
- **Practice address fax:** (214) 341-1603
- **Mailing address:** PO BOX 821868, DALLAS, TX 75382-1868
- **Mailing address phone:** (214) 341-8770
- **Mailing address fax:** (214) 341-1603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2016
- **Last updated:** 12/16/2016