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COLLEGE STATION IMAGING CENTER NPI 1316057664


NPI Information

NPI: 1316057664
Provider Name: COLLEGE STATION IMAGING CENTER

Doing Business As: ADVANCED DIAGNOSTIC IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1105 UNIVERSITY DR E
STE 102
COLLEGE STATION, TX
ZIP 77840
Phone: (979) 268-7500
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COLLEGE STATION IMAGING CENTER is a diagnostic radiology radiology in College Station, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. COLLEGE STATION IMAGING CENTER NPI is 1316057664. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Diagnostic Imaging.

The provider's business location address is:

1105 UNIVERSITY DR E
STE 102
COLLEGE STATION, TX
ZIP 77840
Phone: (979) 268-7500
Fax: (979) 268-7501

The provider's authorized official is Todd Anthony Maraist .
The authorized official title is Medical Director and has the following contact phone number (979) 268-7500.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyR27384TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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