# MAXIM DIAGNOSTIC CENTER, LLC

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

## Provider details

- **NPI number:** 1972585818
- **Authorized official:** MR. WILLIAM MACKNIGHT (MANAGING PARTNER)
- **Authorized official phone:** (817) 341-3016

## Contact information

- **Practice address:** 2618 E BANKHEAD HWY, WEATHERFORD, TX 76087-9558
- **Practice address phone:** (817) 341-3016
- **Practice address fax:** (817) 341-2394
- **Mailing address:** 2618 E BANKHEAD HWY, WEATHERFORD, TX 76087-9558
- **Mailing address phone:** (817) 341-3016
- **Mailing address fax:** (817) 341-2394

## Taxonomy

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

## Other

- **Enumeration date:** 11/16/2005
- **Last updated:** 08/22/2020