IC IMAGING OF BROWNSVILLE LLC; NPI #1013006121

Contact Information

IC IMAGING OF BROWNSVILLE LLC

155 B UPTOWN AVE
BROWNSVILLE, TX 78520

Phone: 956-739-1886
Fax: 956-546-5201
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for IC IMAGING OF BROWNSVILLE LLC

NPI Number 1013006121

LBN Legal business name IC IMAGING OF BROWNSVILLE LLC

Authorized official WILLIAM MARTIN - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/12/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

G9769

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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