National Provider Identifier Database

COLLEGE STATION IMAGING CENTER
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

COLLEGE STATION IMAGING CENTER
1105 UNIVERSITY DR E
STE 102
COLLEGE STATION, TX77840
Phone: 979-268-7500
Fax: 979-268-7501
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for COLLEGE STATION IMAGING CENTER

NPI Number 1316057664
Legal business name
LBN
COLLEGE STATION IMAGING CENTER
Authorized official TODD MARAIST - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/30/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: R27384

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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