ADVANCED DIAGNOSTIC IMAGING – NPI #1316057664
Radiology

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

ADVANCED DIAGNOSTIC IMAGING is a radiologist located in COLLEGE STATION, TX. NPPES has assigned the NPI number 1316057664 to ADVANCED DIAGNOSTIC IMAGING on August 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED DIAGNOSTIC IMAGING” is a dba name, the actual legal business name for this organization is COLLEGE STATION IMAGING CENTER. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED DIAGNOSTIC IMAGING below.

NPI Profile for
COLLEGE STATION IMAGING CENTER

NPI Number
1316057664
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLLEGE STATION IMAGING CENTER
Doing Business As (dba): ADVANCED DIAGNOSTIC IMAGING
Primary location
1105 UNIVERSITY DR E
STE 102
COLLEGE STATION, TX 77840
Phone: (979) 268-7500 Fax: (979) 268-7501
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TODD MARAIST
MEDICAL DIRECTOR
Phone: (979) 268-7500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
TX R27384

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.