Liza Colchado

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

LIZA COLCHADO

Doing business as

STAT MOBILE IMAGING

Practice address

4210 Vida Grande
Weslaco, TX 78596-8635

Phone

(956) 650-0188

NPI assigned

Aug 13, 2014

Organization subpart

No

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

Authorized official

Name

Liza Colchado

Title

Owner

Phone

(956) 650-0188

Specialties & licenses 1

Addresses

Other names 1

• STAT MOBILE IMAGING Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1184023335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 VIDA GRANDE",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785968635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 VIDA GRANDE",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785968635",
            "telephone_number": "956-650-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZA COLCHADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "COLCHADO",
        "authorized_official_first_name": "LIZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-650-0188"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAT MOBILE IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Weslaco, TX
• Providers in Weslaco, TX by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.