THE MEDICAL SHOP INC NPI 1669470241

NPI Information

NPI: 1669470241
Provider Name: THE MEDICAL SHOP, INC

Doing Business As: TEXAS IMAGING & DIAGNOSTIC CENTER

Classification: Radiologic Technologist - 247100000X
Entity Type: Organization
Address:
3840 W NORTHWEST HWY
SUITE 400
DALLAS, TX
ZIP 75220
Phone: (214) 357-5229
Get Directions

THE MEDICAL SHOP, INC is a radiologic technologist in Dallas, TX. The provider is an individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. THE MEDICAL SHOP, INC NPI is 1669470241. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Texas Imaging & Diagnostic Center.

The provider's business location address is:

3840 W NORTHWEST HWY
SUITE 400
DALLAS, TX
ZIP 75220-162
Phone: (214) 357-5229
Fax: (214) 357-5488

The provider's authorized official is Emil Georgio Cerullo .
The authorized official title is Ceo and has the following contact phone number (214) 357-5229.

The enumeration date for this NPI number is 7/8/2005 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
1	247100000X	Radiologic Technologist		R21910	TEXAS	Yes
2	2471C3401X	Radiologic Technologist	Computed Tomography	R21910	TEXAS	X
3	2471C3402X	Radiologic Technologist	Radiography	R21910	TEXAS	X
4	2471M1202X	Radiologic Technologist	Magnetic Resonance Imaging	R21910	TEXAS	X

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: 11/14/2023

NPI Synchronization or Removal

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