Provider Demographics
NPI:1891829040
Name:CENTRAL DIAGNOSTIC IMAGING OF BROWNSVILLE LLC
Entity type:Organization
Organization Name:CENTRAL DIAGNOSTIC IMAGING OF BROWNSVILLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:ELSA
Authorized Official - Last Name:ALCALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-541-3512
Mailing Address - Street 1:864 CENTRAL BLVD
Mailing Address - Street 2:SUITE # 600
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-7551
Mailing Address - Country:US
Mailing Address - Phone:956-541-3512
Mailing Address - Fax:956-541-1380
Practice Address - Street 1:864 CENTRAL BLVD
Practice Address - Street 2:SUITE # 600
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7551
Practice Address - Country:US
Practice Address - Phone:956-541-3512
Practice Address - Fax:956-541-1380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Single Specialty