COLLEGE STATION IMAGING CENTER; NPI #1316057664

Contact Information

COLLEGE STATION IMAGING CENTER

1105 UNIVERSITY DR E
STE 102
COLLEGE STATION, TX 77840

Phone: 979-268-7500
Fax: 979-268-7501
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 COLLEGE STATION IMAGING CENTER

NPI # 1316057664

LBN Legal business name COLLEGE STATION IMAGING CENTER

Authorized official TODD MARAIST - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/30/2006

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

Identifiers

License #

R27384

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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COLLEGE STATION IMAGING CENTER

Contact Information

Specialty

Diagnostic Radiology

NPI Profile & details for COLLEGE STATION IMAGING CENTER

Reviews for COLLEGE STATION IMAGING CENTER