# PRIME DIAGNOSTIC IMAGING OF ENNIS, LLC

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

## Provider details

- **NPI number:** 1992968168
- **Authorized official:** MRS. JAMIE HELLMAN (ADMINISTRATOR)
- **Authorized official phone:** (214) 341-8770

## Contact information

- **Practice address:** 1905 W ENNIS AVE \# 500, ENNIS, TX 75119-3614
- **Practice address phone:** (214) 341-8770
- **Practice address fax:** (214) 341-1603
- **Mailing address:** 1905 W ENNIS AVE \# 500, ENNIS, TX 75119-3614
- **Mailing address phone:** (214) 341-8770
- **Mailing address fax:** (214) 341-1603

## Taxonomy

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

## Other

- **Enumeration date:** 07/08/2008
- **Last updated:** 06/25/2010