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
314 S RAGSDALE ST, JACKSONVILLE, TX 75766-4936
(903) 589-8164
(903) 589-4906
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
L05225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109DC
BCBS PROV NUMBER
TX
01
—
L05225
RADIOACTIVE LICENSE
TX
Enumeration date
11/15/2005
Last updated
08/22/2020
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