Organization
REGIONAL DIAGNOSTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLY GHOLSTON (MANAGER)
(972) 916-8581
Entity
Organization
Contact information
Practice address
1701 GATEWAY BLVD, SUITE 460, RICHARDSON, TX 75080-3572
(972) 916-8581
Mailing address
PO BOX 743713, DALLAS, TX 75374-3713
(972) 916-8581
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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