Coulter Imaging Center LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

R13716 Issued in TX

Legal business name

COULTER IMAGING CENTER LLC

Practice address

1900 Coulter St
Unit N
Amarillo, TX 79106-1782

Phone

(806) 358-7149

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Anita Tilden

Title

MGR

Phone

(806) 358-7149

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1568408078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50420",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791590420",
            "telephone_number": "806-358-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 COULTER ST",
            "address_2": "UNIT N",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061782",
            "telephone_number": "806-358-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COULTER IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "TILDEN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "806-358-7149",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "R13716",
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "TX",
            "license": "R13716",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "103168100",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080601001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Nicole Cotino, M.D.
• Mickie Cottle
• Brandi Couch, LCSW
• Darlene Couch, PT
• Coulter Emergency Center LLC
• Country Club Nursing and Rehabilitation LP
• Kirk Annis Coury, D.D.S., M.S.
• Lauren Kaci Covey, PHARMD
• Kai Covin, DO
• Leslie Paul Covington, PHARM.D.

• Radiology Clinic/Center in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.