Clear Core Imaging Centers

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CLEAR CORE IMAGING CENTERS

Doing business as

Clear Core MRI & Wellness

Practice address

4515 N Loop 1604 W Ste 101
San Antonio, TX 78249-4588

Phone

(832) 418-3463

NPI assigned

Jul 1, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Darian G Padua

Title

Chief Executive Officer

Phone

(832) 418-3463

Specialties & licenses 2

Addresses

Other names 1

• Clear Core MRI & Wellness Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1023689957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W SUMMIT AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122741",
            "telephone_number": "832-418-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 N LOOP 1604 W STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494588",
            "telephone_number": "832-418-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CORE IMAGING CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "PADUA",
        "authorized_official_first_name": "DARIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "832-418-3463",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Core MRI & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clear Core MRI & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diagnostic Radiology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.