Organization
GALAXY MRI AND DIAGNOSTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN TEIG PORT M.D. (MEDICAL DIRECTOR)
(972) 331-4481
Entity
Organization
Contact information
Practice address
1110 N GALLOWAY AVE, MESQUITE, TX 75149-2436
(972) 331-4481
(972) 331-4486
Mailing address
1110 N GALLOWAY AVE, MESQUITE, TX 75149-2436
(972) 331-4481
(972) 331-4486
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
2471C3401X
Computed Tomography Radiologic Technologist
R29608
TX
2471C3402X
Radiography Radiologic Technologist
R29608
TX
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
TX
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
45D1103817
TX
293D00000X
Physiological Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179171701
—
TX
01
—
45D1103817
CLIA
TX
Enumeration date
12/19/2006
Last updated
06/15/2011
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