Organization Active NPI

Weslaco Advanced Medical Imaging LLC

  • Radiology Clinic/Center
  • Weslaco, TX
National Provider Identifier
1225081748
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
WESLACO ADVANCED MEDICAL IMAGING LLC
Practice address
1125 S James St Ste a
Weslaco, TX 78596
Phone
(956) 973-9696
Fax
(956) 973-9616
NPI assigned
May 18, 2006
Last updated
Mar 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Rafath Quraishi, MDNPI 1679596910
Title
MD
Phone
(956) 973-9696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X TX
Radiology Clinic/Center 261QR0200X TX Primary

Addresses

Primary practice location

1125 S James St Ste a
Weslaco, TX 78596

Mailing address

PO Box 567
Weslaco, TX 78596
Phone (956) 973-9696

Other identifiers 2

IdentifierTypeStateIssuer
226054OtherTXMAMMAGRAPHY FDA
154223502MedicaidTX

Other names 1

  • ADVANCED RADIOLOGY ASSOCIATES Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140618000027 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6204050081 Practice locations: Weslaco, TX
O20140618001323 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6204050081 Practice locations: Edinburg, TX

National Provider Directory

National Provider Directory

Locations

2616 Cornerstone Blvd
#A
Edinburg, TX 78539
Phone (956) 994-7152

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1225081748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "78596",
            "telephone_number": "956-973-9696",
            "fax_number": "956-973-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S JAMES ST STE A",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "78596",
            "telephone_number": "956-973-9696",
            "fax_number": "956-973-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLACO ADVANCED MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "QURAISHI",
        "authorized_official_first_name": "RAFATH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "956-973-9696",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMMAGRAPHY FDA",
            "identifier": "226054",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154223502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED RADIOLOGY ASSOCIATES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Weslaco, TX

Sources for this page

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