Organization
SWDIC IMAGING CENTER PARTNERSHIP, LLP
Active
Other names
Southwest Diagnostic Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP COLLINS (DIRECTOR, BUS. SVCS)
(214) 345-4141
Entity
Organization
Contact information
Practice address
8230 WALNUT HILL LN, SUITE 100, DALLAS, TX 75231-4482
(214) 345-4141
(214) 345-2099
Mailing address
8230 WALNUT HILL LN, SUITE 100, DALLAS, TX 75231-4482
(214) 345-6905
(214) 345-2099
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
R18642
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019CC
IDTF BLUE CROSS OF TEXAS
TX
05
—
141643001
—
TX
05
—
141643002
—
TX
01
—
470001463
RAILROAD MEDICARE
TX
01
—
MDD0438
IDTF WORKERS COMP
TX
Enumeration date
06/23/2005
Last updated
05/06/2013
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