PORTABLE DIAGNOSTIC SERVICES INC.
Radiology at Motley Dr, Mesquite, TX

License number
Texas K9889
Category
Radiology
Type
Diagnostic Radiology
Owner
Name: MR. VARGHESE RAJU M.A.B.ED.
Title: OPERATION DIRECTOR-OWNER
Phone: (214) 368-0101
Address
Address 2
3022 Motley Dr STE 100, Mesquite, TX 75150
PO Box 740732, Dallas, TX 75374
National Provider ID: 1649337965
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PORTABLE DIAGNOSTIC SERVICES, INC

Dallas, TX  -  Mesquite, TX

Doing business as:
Portable Diagnostic Services, Inc
Registration:
Dec 1, 1993
Addresses:
PO Box 740732, Dallas, TX 75374 (Mailing)
3022 Motley Dr, Mesquite, TX 75150
State ID:
0129251400
Business type:
Domestic For-Profit Corporation
President, Directors:
Varghese Raju (DIRECTOR, Director), 3022 Motley Dr, Mesquite, TX 75150,Raju Varghese President, Director, inactive
TIN:
30116976660

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