Organization
ALLIANCE DIAGNOSTIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAKASH KRISHNARAJ (ADMINISTRATOR)
(214) 762-9084
Entity
Organization
Contact information
Practice address
3160 N TARRANT PKWY STE 400, FORT WORTH, TX 76177-8631
(214) 762-9084
Mailing address
5616 WARREN PKWY STE 102, FRISCO, TX 75034-4166
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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