COULTER IMAGING CENTER LLC NPI 1568408078

NPI Information

NPI: 1568408078
Provider Name: COULTER IMAGING CENTER LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1900 COULTER ST
UNIT N
AMARILLO, TX
ZIP 79106
Phone: (806) 358-7149
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COULTER IMAGING CENTER LLC is a radiology clinic center in Amarillo, TX. COULTER IMAGING CENTER LLC NPI is 1568408078. The provider is registered as an organization entity type.

The provider's business location address is:

1900 COULTER ST
UNIT N
AMARILLO, TX
ZIP 79106-782
Phone: (806) 358-7149

The provider's authorized official is Anita Tilden .
The authorized official title is Mgr and has the following contact phone number (806) 358-7149.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 11/13/2008.

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	261QR0206X	Clinic/Center	Radiology, Mammography	R13716	TEXAS	No
2	261QR0200X	Clinic/Center	Radiology	R13716	TEXAS	Yes

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
1	103168100	OTHER		FIRSTCARE
2	FTXV01	MEDICARE PIN	TEXAS
3	080601001	MEDICAID	TEXAS
4	0043CC	MEDICARE PIN	TEXAS

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

NPI Synchronization or Removal

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