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Organization

PROSCAN MEDICAL IMAGING LLC

Active
Other names
Eclipse Medical Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GAIL S MAYFIELD (MBR)
(817) 992-4866
Entity
Organization

Contact information

Practice address
6805 NE LOOP 820, SUITE 407, NORTH RICHLAND HILLS, TX 76180-6687
(817) 992-4866
Mailing address
6805 NE LOOP 820, SUITE 407, NORTH RICHLAND HILLS, TX 76180-6687
(817) 992-4866

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
10/05/2007
Last updated
10/05/2007
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