Organization Active NPI

Texas Diagnostic Associates LLC

  • Technician/Technologist
  • Georgetown, TX
National Provider Identifier
1154084150
Registry record updated Oct 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
Legal business name
TEXAS DIAGNOSTIC ASSOCIATES LLC
Practice address
2508 Williams Dr Ste 270
Georgetown, TX 78628-3263
Phone
(908) 494-2222
NPI assigned
Oct 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2021

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

Authorized official

Name
Onadia Cristobalina Cabrera-Mora, MDNPI 1336802339
Title
Owner/Ceo
Phone
(908) 494-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 156F00000X Primary

Addresses

Primary practice location

2508 Williams Dr Ste 270
Georgetown, TX 78628-3263

Mailing address

2508 Williams Dr Ste 270
Georgetown, TX 78628-3263
Phone (908) 494-2222

National Provider Directory

National Provider Directory

Locations

2508 Williams Dr
Ste 270
Georgetown, TX 78628
Phone (908) 494-2222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634342400000",
    "number": "1154084150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 WILLIAMS DR STE 270",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283263",
            "telephone_number": "908-494-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 WILLIAMS DR STE 270",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283263",
            "telephone_number": "908-494-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS DIAGNOSTIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-16",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A",
        "authorized_official_last_name": "CABRERA-MORA",
        "authorized_official_first_name": "ONADIA",
        "authorized_official_middle_name": "CRISTOBALINA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "908-494-2222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; 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.