TIDC-IRVING INC NPI 1154385102

NPI Information

  • NPI: 1154385102
  • Provider Name: TIDC-IRVING, INC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: TEXAS IMAGING & DIAGNOSTIC CENTER
  • Address: 3636 N MACARTHUR BLVD
    SUITE 170
    IRVING, TX
    ZIP 75062
  • Phone: (972) 255-9444

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NPI Details

TIDC-IRVING, INC is a diagnostic radiology radiology in Irving, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. TIDC-IRVING, INC NPI is 1154385102. 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:

3636 N MACARTHUR BLVD
SUITE 170
IRVING, TX
ZIP 75062-637
Phone: (972) 255-9444
Fax: (972) 570-4664

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 4/14/2006 and was last updated on 7/30/2007.

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 RadiologyR22410TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1FTA069MEDICARE ID-TYPE UNSPECIFIEDTEXASIDTF

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: 11/21/2025

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