Eclipse Imaging Pain Management Center-Grapevine
LBN: Grapevine Imaging & Pain Management Center Llc
Eclipse Imaging Pain Management Center-Grapevine is an health care organization with primary practice located at 2401 Ira E Woods #600, Grapevine TX 76051-8631. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
Grapevine Imaging & Pain Management Center Llc can be contacted via phone (817) 488-9991, or through Mayfield, Gail S. via phone (817) 479-0800.
Contact Information
Primary practice address
2401 Ira E Woods #600
Grapevine TX 76051-8631
Phone: (817) 488-9991
Fax: (817) 488-9992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | R25579 | Texas |
Profile Details
| NPI number | 1639180797 |
|---|---|
| LBN Legal business name | Grapevine Imaging & Pain Management Center Llc |
| DBA Doing business as | Eclipse Imaging Pain Management Center-Grapevine |
| Authorized official | Mayfield, Gail S. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | May 13th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639180797 | NPPES |
| Texas | Other | 376985800 | DOL |
| Texas | Other | 9676331 | DOL |
| Texas | Other | 0119DC | DOL |
| Texas | MEDICAID | 303769901 | DOL |
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