Organization
NUMED IMAGING CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA LYNN HARRIS (BILLING COORDINATOR/NETWORK MANAGER)
(940) 365-5700
Entity
Organization
Contact information
Practice address
220 N PARK BLVD, SUITE 112, GRAPEVINE, TX 76051-6987
(817) 421-2075
(817) 421-7724
Mailing address
PO BOX 1098, DENTON, TX 76202-1098
(940) 365-5700
(940) 365-5077
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
L05016
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087994201
—
TX
01
—
L05016
RADIOACTIVE LICENSE
TX
Enumeration date
11/15/2005
Last updated
08/13/2008
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