Prestige Diagnostic Imaging LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

PRESTIGE DIAGNOSTIC IMAGING LLC

Practice address

11240 Vista del Sol Dr Ste a
El Paso, TX 79936-5236

Phone

(915) 304-0022

Fax

(915) 304-0172

NPI assigned

Mar 19, 2020

Last updated

Mar 19, 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

Dr. Alfredo Aguayo, D.C.

Title

Owner

Phone

(915) 304-0022

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1578199733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 VISTA DEL SOL DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365236",
            "telephone_number": "915-304-0022",
            "fax_number": "915-304-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 VISTA DEL SOL DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365236",
            "telephone_number": "915-304-0022",
            "fax_number": "915-304-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE DIAGNOSTIC IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "AGUAYO",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-304-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in El Paso, TX
• Providers in El Paso, TX by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.