College Station Imaging Center

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

R27384 Issued in TX

Legal business name

COLLEGE STATION IMAGING CENTER

Doing business as

Advanced Diagnostic Imaging

Practice address

1105 University Dr E
Ste 102
College Station, TX 77840

Phone

(979) 268-7500

Fax

(979) 268-7501

NPI assigned

Aug 30, 2006

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

Mr. Todd Anthony Maraist, MD

Title

Medical Director

Phone

(979) 268-7500

Specialties & licenses 1

Addresses

Other names 1

• Advanced Diagnostic Imaging Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Daftarian Family Practice P a

  • Family Medicine Physician
  • Bryan, TX
  • NPI 1841246220

  Member Of

  NPD member

Practitioners 1

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.

• James V Stonecipher, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Bryan, TX
  • NPI 1497716179

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316057664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 UNIVERSITY DR E",
            "address_2": "STE 102",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77840",
            "telephone_number": "979-268-7500",
            "fax_number": "979-268-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 UNIVERSITY DR E",
            "address_2": "STE 102",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77840",
            "telephone_number": "979-268-7500",
            "fax_number": "979-268-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE STATION IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARAIST",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "979-268-7500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R27384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• College Station Hospital LP (College Station Medical Center)
• College Station Hospital LP (College Station Medical Center)
• College Station Hospital LP (College Station Medical Center)
• College Station I Enterprises, L.L.C. (Fortress Nursing and Rehabilitation)
• College Station III Enterprises, LLC (Five Points Nursing & Rehabilitation of College Station)
• College Station Isd
• College Station Modern Dentistry PC (College Station Modern Dentistry)
• College Station Optical, PC
• College Station Oral Surgery, PLLC
• College Station Vision Center PLLC

• Diagnostic Radiology Physician in College Station, TX
• Providers in College Station, TX by specialty
• Diagnostic Radiology Physician in Texas

• 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.