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Organization

MAXUM HEALTH SERVICES CORP

Active
Other names
InSight Diagnostics Center - Forest Lane
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES F. STANLEY (CHIEF FINANCIAL OFFICER; TREASURER)
(949) 282-6000
Entity
Organization

Contact information

Practice address
11617 N CENTRAL EXPY, STE 132, DALLAS, TX 75243-3800
(214) 369-3795
(214) 692-7953
Mailing address
PO BOX 848074, DALLAS, TX 75284-8074
(949) 282-6000

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130085706
TX
01
470000639
RAILROAD MEDICARE
TX
Enumeration date
04/28/2006
Last updated
08/20/2012
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