Organization
CLEARSKY MEDICAL IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT CHANDLER (CEO)
(813) 786-8712
Entity
Organization
Contact information
Practice address
12606 GREENVILLE AVE, 110, DALLAS, TX 75243-1921
(972) 669-3100
(972) 669-3101
Mailing address
12606 GREENVILLE AVE, 110, DALLAS, TX 75243-1921
(972) 669-3100
(972) 669-3101
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
R29992
TX
Other
Enumeration date
08/24/2006
Last updated
08/22/2020
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