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Organization

DIAGNOSTIC IMAGE PLUS INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VARGHESE RAJU (OPERATIONS DIRECTOR)
(972) 613-0555
Entity
Organization

Contact information

Practice address
8210 WALNUT HILL LN STE 304, DALLAS, TX 75231-4419
(972) 685-2727
(972) 685-2726
Mailing address
3022 MOTLEY DR, MESQUITE, TX 75150-3440
(972) 613-0555
(972) 613-0546

Taxonomy

Speciality
Code
Description
License number
State
246W00000X
Cardiology Technician
246XS1301X
Sonography Specialist/Technologist Cardiovascular
247100000X
Radiologic Technologist
Primary
2471B0102X
Bone Densitometry Radiologic Technologist
2471S1302X
Sonography Radiologic Technologist
2471V0105X
Vascular Sonography Radiologic Technologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1783243-01
TX
01
P00295618
RAIL ROAD MEDICARE
TX
01
R29810
TEXAS RADIATION LICENCE
TX
Enumeration date
01/12/2015
Last updated
01/12/2015
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