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Organization

BLUE STAR IMAGING, LP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHILIP MALONE (OPERATIONS MANAGER)
(405) 321-8125
Entity
Organization

Contact information

Practice address
1 COWBOYS PKWY, IRVING, TX 75063-4924
(469) 757-1000
Mailing address
PO BOX 848478, DALLAS, TX 75284-8478

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
TX
Enumeration date
03/27/2006
Last updated
03/05/2008
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