| Organization Name: | AMERICAN DYNAMIC IMAGING LTD |
| NPI Number: | 1013097062 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GAY WALTERS (PRESIDENT) |
| Mailing Address: | 797 Lonesome Dove Trl Hurst |
| State: | TX US |
| Postal Code: | 760546018 |
| Phone Number: | 8175813112 |
| Fax Number: | 8175777501 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 02/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |