WELLMART HEARTLAB INC


Address: 349 Las Colinas Blvd E, Suite C, Irving, TX 75039-5557
Phone: 9727392840

WELLMART HEARTLAB INC (NPI# 1245456219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245456219
Entity Type Organization
Organization Name WELLMART HEARTLAB INC
Other Organization Name VIASCAN
Practice Address 349 Las Colinas Blvd E
Suite C
Irving
TX 75039-5557
Practice Telephone 9727392840
Practice Fax Number 9727392854
Mailing Telephone 9727392840
Mailing Fax Number 9727392854
Enumeration Date 2007-04-18
Last Update Date 2008-06-18
Authorized Official Name JOHN DUNCAN (CEO)
Authorized Official Telephone 9727392840
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
TX Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS W14K 01

Other Provider/Organization Names

Other Name Type Code
Viascan Doing Business As Name - Organization

Office Location

Street Address 349 LAS COLINAS BLVD E
SUITE C
City IRVING
State TX
Zip Code 75039-5557

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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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1053409581 Seneca Nation of Indianshealth Department Clinic/Center 36 Thomas Indian School Dr, Irving, NY 14081-9300 2006-10-10
1376653105 Focus Imaging Inc Clinic/Center 1901 W Irving Blvd, Suite 900, Irving, TX 75061-6823 2006-08-30

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Competitor

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City IRVING
Zip Code 75039

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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