TEXAS IMAGING & DIAGNOSTIC CENTER - NPI 1154385102

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

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About Texas Imaging & Diagnostic Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEXAS IMAGING & DIAGNOSTIC CENTER (NPI 1154385102) is a healthcare organization registered as a diagnostic radiology in Irving, Texas and active in the NPI registry since April 2006. The organization lists Emil Georgio Cerullo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154385102

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameTIDC-IRVING, INC

Location Address3636 N MACARTHUR BLVD, SUITE 170Irving, TX 75062-3637

Mailing Address3636 N Macarthur Blvd, Suite 170Irving, TX 75062-3637 · (972) 255-9444 · Fax (972) 570-4664

Phone(972) 255-9444

Fax(972) 570-4664

Organization SubpartNo

Authorized OfficialEmil Georgio CerulloCeo · (214) 357-5229

Enumeration DateApril 14, 2006

Last NPPES UpdateJuly 30, 2007

✔ NPI 1154385102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in TX · R22410

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3636 N MACARTHUR BLVD, Irving, TX 75062

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Other Names 1

Doing Business AsTexas Imaging & Diagnostic Center

Other Identifiers 1

Medicare ID-Type UnspecifiedFTA069TX · Idtf

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP