Independent Mobil Diagnostice Testing Facility
Independent Mobil Diagnostice Testing Facility is a Preferred Provider Organization in Cleburne, Texas. Licensed in Texas. Registered with an NPI since 2011.
- Licensed in
- TX
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
1661 Woodard Ave Ste 110Cleburne, TX 76033-7052
Phone: (817) 494-6875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 22799 (TX) |
|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X · Licence 22799 (TX) |
Record details
| NPI number | 1437434206 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edmond Maxon — Ed · (817) 494-6875 |
| NPI enumerated | October 12, 2011 |
| Last updated in NPPES | October 12, 2011 |
| Mailing address | 1661 Woodard Ave, Suite 110, Cleburne, TX 76033-7052 |