Organization
NUMED IMAGING CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA L HARRIS (BILLING COORDINATOR/NETWORK MANAGER)
(940) 365-5700
Entity
Organization
Contact information
Practice address
505 W RIDGEWAY, SUITE 280, CLEBURNE, TX 76033
(817) 645-6856
(817) 645-7854
Mailing address
PO BOX 1098, DENTON, TX 76202-1098
(940) 365-5700
(940) 365-5077
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
L05762
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0396DC
BCBS PROV.NUMBER
TX
05
—
087994201
—
TX
01
—
470000228
RR MCR NUMBER
TX
01
—
L05762
RADIOACTIVE LICENSE
TX
Enumeration date
11/19/2005
Last updated
08/13/2008
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