Organization
PURE VUE DIAGNOSTICS LLC
Active
Organization
PURE VUE DIAGNOSTICS LLC
Active
Other names
Pure Vue Diagnostics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA GILLIAM (VP OF BILLING AND CODING)
(972) 632-6877
Entity
Organization
Contact information
Practice address
2900 MARK DR, ARLINGTON, TX 76013-2013
(972) 632-6877
(888) 852-0154
Mailing address
2900 MARK DR, ARLINGTON, TX 76013-2013
(972) 632-6877
(888) 852-0154
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
12/20/2018
Last updated
09/23/2021
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