Broad Park Imaging, Llc

LBN: Broad Park Imaging, Llc
Broad Park Imaging, Llc is an health care organization with primary practice located at 1750 Broad Park Cir S Suite 300, Mansfield TX 76063-7832. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Broad Park Imaging, Llc can be contacted via phone (682) 200-2517, or through Bailleu, Jacki via phone (817) 690-8873.

Contact Information

Primary practice address
1750 Broad Park Cir S Suite 300 Mansfield TX 76063-7832
Phone: (682) 200-2517
Fax: (682) 200-2518
Website:
Map and Directions
Authorized official contact:
Name: Bailleu, Jacki BS
Phone: (817) 690-8873

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1467782052
LBN Legal business name Broad Park Imaging, Llc
DBA Doing business as
Authorized official Bailleu, Jacki BS
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2010
Last updated Jan 5th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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