Organization
E PLUS PET IMAGING XII LP
Active
Other names
PET Imaging of Dallas-Northeast
Organization subpart
No
Provider details
NPI number
Authorized official
CHAOQIANG LIN (EXECUTIVE VICE PRESIDENT & CFO)
(214) 587-4079
Entity
Organization
Contact information
Practice address
1250 R NORTHWEST HIGHWAY, GARLAND, TX 75041-5851
(972) 279-5172
(972) 279-6948
Mailing address
1250 NORTHWEST HWY STE R, GARLAND, TX 75041-5842
(972) 279-5172
(972) 279-6948
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0462DC
BLUE CROSS/BLUE SHIELD
TX
01
—
P00262810
RRMEDICARE
—
Enumeration date
05/23/2006
Last updated
12/15/2025
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