Organization · NPI-2

Forest Lane Imaging Partners

Radiologic Technologist, Magnetic Resonance Imaging · Dallas, TX

NPI number1629255930
StatusActive
Last updated in NPPESJan 29, 2008

Details

NPI
1629255930
Entity type
Organization (NPI-2)
Legal business name
Forest Lane Imaging Partners
Organization subpart
No
Enumeration date
Jan 29, 2008
Last updated
Jan 29, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2471M1202X Radiologic Technologist, Magnetic Resonance Imaging––Yes
2471C3401X Radiologic Technologist, Computed Tomography––

Practice location

7777 Forest Ln
Ste C112
Dallas, TX 75230-2505

Phone 972-479-1115

Mailing address

Po Box 268866
Oklahoma City, OK 73126-8866

Phone 972-479-1115 · Fax 972-479-1118

Authorized official

Tammy Sakurada
Billing
9724791115

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