Organization Active NPI

Optimum Diagnostic Imaging Center

Doing business as Optimum Imaging Center

  • Radiology Clinic/Center
  • Mission, TX
National Provider Identifier
1275994477
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
R41088 Issued in TX
Legal business name
OPTIMUM DIAGNOSTIC IMAGING CENTER
Doing business as
Optimum Imaging Center
Practice address
1300 S Bryan Rd Ste 104
Mission, TX 78572-6688
Phone
(956) 583-0004
Fax
(956) 583-5790
NPI assigned
Mar 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Ivan Remache
Title
Administrator
Phone
(956) 583-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X R41088 TX Primary

Addresses

Primary practice location

1300 S Bryan Rd Ste 104
Mission, TX 78572-6688

Mailing address

1300 S Bryan Rd Ste 104
Mission, TX 78572-6688
Phone (956) 583-0004

Other names 1

  • Optimum Imaging Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180823001262 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4385993401 Practice locations: Mission, TX

National Provider Directory

National Provider Directory

Locations

500 S Bicentennial Blvd
Ste 100B
McAllen, TX 78501
Phone (956) 585-8700

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": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1275994477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S BRYAN RD STE 104",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726688",
            "telephone_number": "956-583-0004",
            "fax_number": "956-583-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S BRYAN RD STE 104",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726688",
            "telephone_number": "956-583-0004",
            "fax_number": "956-583-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM DIAGNOSTIC IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "REMACHE",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-583-0004"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "R41088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optimum Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.