Organization
ABILENE IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE RENEE LEE (ADMINISTRATOR)
(325) 437-0560
Entity
Organization
Contact information
Practice address
750 N 18TH ST, ABILENE, TX 79601-3018
(325) 437-0560
(325) 437-0555
Mailing address
750 N 18TH ST, ABILENE, TX 79601-3018
(325) 437-0560
(325) 437-0555
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160862201
—
TX
Enumeration date
06/28/2005
Last updated
06/12/2012
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