Provider Demographics
NPI:1447917539
Name:ZOOM DIAGNOSTIC IMAGING HOLDINGS LLC
Entity type:Organization
Organization Name:ZOOM DIAGNOSTIC IMAGING HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-504-6156
Mailing Address - Street 1:3508 SOUTHWESTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-7454
Mailing Address - Country:US
Mailing Address - Phone:214-504-6156
Mailing Address - Fax:
Practice Address - Street 1:1113 W CHERRY AVE
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-3320
Practice Address - Country:US
Practice Address - Phone:580-540-3244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier