Organization
SMR DIAGNOSTICS LTD
Active
Parent organization
SMR DIAGNOSTICS LTD
Other names
One Source Diagnostic Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMR DIAGNOSTICS LTD
Authorized official
MARY E KISER (DIRECTOR OF OPERATIONS)
(817) 517-5665
Entity
Organization
Contact information
Practice address
505 N RIDGEWAY DR, STE 252, CLEBURNE, TX 76033-5118
(817) 517-5665
(817) 556-3999
Mailing address
505 N RIDGEWAY DR, STE 252, CLEBURNE, TX 76033-5118
(817) 517-5665
(817) 556-3999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R26791
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150682601
—
TX
01
—
R26791
STATE LICENSE
TX
Enumeration date
08/30/2006
Last updated
12/18/2009
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