Organization
FOREST LANE IMAGING PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY SAKURADA (BILLING)
(972) 479-1115
Entity
Organization
Contact information
Practice address
7777 FOREST LN, STE C112, DALLAS, TX 75230-2505
(972) 479-1115
Mailing address
PO BOX 268866, OKLAHOMA CITY, OK 73126-8866
(972) 479-1115
(972) 479-1118
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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