Organization
CENTER FOR MOLECULAR IMAGING LIMITED PARTNERSHIP
Active
Other names
Southwest Diagnostic Center for Molecular Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERENA LYNN CORNICK-CHIN (MANAGED CARE COORDINATOR)
(214) 345-5063
Entity
Organization
Contact information
Practice address
8196 WALNUT HILL LN, SUITE LL30, DALLAS, TX 75231-7227
(214) 345-8300
(214) 345-2099
Mailing address
8196 WALNUT HILL LN, SUITE LL30, DALLAS, TX 75231-7227
(214) 345-8300
(214) 345-2099
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
L05715
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0366DC
IDTF BLUE CROSS
TX
05
—
162648301
—
TX
Enumeration date
06/23/2005
Last updated
07/30/2025
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