Del Rio Imaging Center PA

Primary specialty

Bone Densitometry Radiologic TechnologistTaxonomy code 2471B0102X

License

R27427 Issued in TX

Legal business name

DEL RIO IMAGING CENTER PA

Practice address

2209 Bedell
Del Rio, TN 78840

Phone

(830) 703-8543

Fax

(830) 774-1430

NPI assigned

Apr 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel J Chartrand, M.D.

Title

Chairman

Phone

(830) 703-8543

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255454252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 BEDELL AVENUE",
            "city": "DEL RIO",
            "state": "TN",
            "postal_code": "78840",
            "telephone_number": "830-703-8543",
            "fax_number": "830-774-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 BEDELL",
            "city": "DEL RIO",
            "state": "TN",
            "postal_code": "78840",
            "telephone_number": "830-703-8543",
            "fax_number": "830-774-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL RIO IMAGING CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHARTRAND",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "830-703-8543",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2471B0102X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Bone Densitometry",
            "state": "TX",
            "license": "R27427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Levkoff

• Radiologic Technologist in Del Rio, TN
• Providers in Del Rio, TN by specialty
• Radiologic Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.