Tidc-Irving, Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

R22410 Issued in TX

Legal business name

TIDC-IRVING, INC

Doing business as

Texas Imaging & Diagnostic Center

Practice address

3636 N Macarthur Blvd
Suite 170
Irving, TX 75062-3637

Phone

(972) 255-9444

Fax

(972) 570-4664

NPI assigned

Apr 14, 2006

Organization subpart

No

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

Authorized official

Name

Emil Georgio Cerullo

Title

Ceo

Phone

(214) 357-5229

Specialties & licenses 1

Addresses

Other names 1

• Texas Imaging & Diagnostic Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark D Meiches, MD

  • Diagnostic Radiology Physician
  • Irving, TX
  • NPI 1093765356
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1154385102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N MACARTHUR BLVD",
            "address_2": "SUITE 170",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623637",
            "telephone_number": "972-255-9444",
            "fax_number": "972-570-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N MACARTHUR BLVD",
            "address_2": "SUITE 170",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623637",
            "telephone_number": "972-255-9444",
            "fax_number": "972-570-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDC-IRVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "CERULLO",
        "authorized_official_first_name": "EMIL",
        "authorized_official_middle_name": "GEORGIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-357-5229"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R22410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Imaging & Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Through the Clouds
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• Narotham R Thudi, MD
• Mary Catherine Thut, PT
• Tiana Watson PLCC (Tiana Therapy)
• Keely Tillman, BCABA
• Alan Roy Tilson, O.D.
• Tim Nguyen, O.D., P.a.
• Stephen Jay Timon, M.D.
• Ryanne Tindell Akina, AU.D.

• Diagnostic Radiology Physician in Irving, TX
• Providers in Irving, 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 Jul 30, 2007; 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.