Active NPI
Optimum Diagnostic Imaging Center
Doing business as Optimum Imaging Center
- Radiology Clinic/Center
- Mission, TX
National Provider Identifier
1275994477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- R41088
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180823001262 | TX | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4385993401 | Practice locations: Mission, TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Norfolk, VA
- NPI 1366654162
-
- Diagnostic Radiology Physician
- Daniel Island, SC
- NPI 1578670220
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
- Sonia G. Olivarez, COTA
- Nilda Olmeda, FNP-BC
- Oneplus Medical Transportation,LLC
- John Thalesseril Oommen, PHARM D
- Optimal Home Health Care LLC
- Optimum Kids LTD (All Around Therapy)
- Optimum Kids LTD (All Around Therapy)
- Optimum Kids LTD (Mission Autism Center & Kids Rehab)
- Optimum Pediatrics PLLC
- Optimum Therapy Mission
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.