Organization
DIAGNOSTIC IMAGE PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VARGHESE RAJU M.A,.B.ED (OPERATIONS DIRECTOR)
(972) 613-0555
Entity
Organization
Contact information
Practice address
3022 MOTLEY DR, MESQUITE, TX 75150-3440
(972) 613-0555
(972) 613-0546
Mailing address
3022 MOTLEY DR, MESQUITE, TX 75150-3440
(972) 613-0555
(972) 613-0546
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
TX
247100000X
Radiologic Technologist
—
TX
2471B0102X
Bone Densitometry Radiologic Technologist
—
—
2471C3402X
Radiography Radiologic Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
—
TX
2471V0105X
Vascular Sonography Radiologic Technologist
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1783243-02
—
TX
01
—
FTXVCU1
MEDICARE
TX
Enumeration date
08/23/2006
Last updated
06/22/2021
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