North Star Mcd, LLC
Clinic/Center, Radiology in Fort Worth, TX. Organization (NPI-2).
NPI number1700550282
StatusActive
Last updated in NPPESAug 6, 2021
Details
- NPI
- 1700550282
- Entity type
- Organization (NPI-2)
- Legal business name
- North Star Mcd, LLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2021
- Certification date
- Aug 6, 2021
- Last updated
- Aug 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0200X | Clinic/Center, Radiology | – | – | Yes |
Other names
- North Star Diagnostic Imaging (Doing Business As)
Practice location
4501 Heritage Trace Pkwy Ste 115Fort Worth, TX 76244-8941
Phone 972-649-6460
Mailing address
7600 Windrose Ave Ste G325Plano, TX 75024-0167
Phone 972-649-6460
Authorized official
Kevin Saskiw
Co-Ceo
9726496460
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