Organization
WELLMART HEARTLAB INC
Active
Other names
Viascan
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DUNCAN (CEO)
(972) 739-2840
Entity
Organization
Contact information
Practice address
349 LAS COLINAS BLVD E, SUITE C, IRVING, TX 75039-5557
(972) 739-2840
(972) 739-2854
Mailing address
349 LAS COLINAS BLVD E, SUITE C, IRVING, TX 75039-5557
(972) 739-2840
(972) 739-2854
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14K
BCBS
TX
Enumeration date
04/18/2007
Last updated
06/18/2008
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