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Contact Information

MEDICAL IMAGING DIAGNOSTIC ASSOCIATES
700 N AIRPORT RD
ALICE, TX78332
 Phone: 361-661-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for MEDICAL IMAGING DIAGNOSTIC ASSOCIATES

NPI # 1609831379
LBN Legal business name MEDICAL IMAGING DIAGNOSTIC ASSOCIATES
Authorized official JAMES LIVELY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2006
Last updated 04/09/2008 - About 18 years ago
Identifiers
TX Medicaid 127265002
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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