TEXAS IMAGING & DIAGNOSTIC CENTER
NPI 1689639205
Radiology - Diagnostic Radiology in Grapevine, TX

Active since April 18, 2006
5311 WILLIAM D TATE AVE, GRAPEVINE, TX 76051(817) 267-9500(817) 545-9400 Get Directions Write a Review

NPPES record last updated: September 19, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Texas Imaging & Diagnostic Center NPPES

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

TEXAS IMAGING & DIAGNOSTIC CENTER (NPI 1689639205) is a healthcare organization registered as a diagnostic radiology in Grapevine, Texas and active in the NPI registry since April 2006. The organization lists Emil Georgio Cerullo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689639205
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameTIDC-GRAPEVINE, INC
Location Address5311 WILLIAM D TATE AVEGrapevine, TX 76051-7365
Mailing Address5311 William D Tate AveGrapevine, TX 76051-7365 · (817) 267-9500 · Fax (817) 545-9400
Fax(817) 545-9400
Organization SubpartNo
Authorized OfficialEmil Georgio CerulloCeo · (214) 357-5229
Enumeration DateApril 18, 2006
Last NPPES UpdateSeptember 19, 2007
NPI 1689639205 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.
5311 WILLIAM D TATE AVE, Grapevine, TX 76051

Other Names 1

Doing Business AsTexas Imaging & Diagnostic Center

Other Identifiers 1

Medicare ID-Type UnspecifiedFTUXV3TX

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tidc-Grapevine, Inc's NPI number?

The NPI number for Tidc-Grapevine, Inc is 1689639205. It was assigned to this organization in the NPPES registry on April 18, 2006. The provider is doing business as Texas Imaging & Diagnostic Center.

Where is Tidc-Grapevine, Inc located?

Tidc-Grapevine, Inc is located at 5311 William D Tate Ave, Grapevine, TX 76051. The listed phone number is (817) 267-9500.

What is Tidc-Grapevine, Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Tidc-Grapevine, Inc was last updated on September 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.