Organization
BIOSTAT IMAGING
Active
Organization
BIOSTAT IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DIETER (CEO)
(832) 524-5355
Entity
Organization
Contact information
Practice address
6210 N BELT LINE RD STE 170, IRVING, TX 75063-2681
(469) 848-7376
(214) 261-5155
Mailing address
16840 BUCCANEER LN STE 261, HOUSTON, TX 77058-2570
(469) 848-7376
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
01/24/2025
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