NPIMap

Organization Active NPI

Medical Imaging Diagnostic Associates

  • Diagnostic Radiology Physician
  • Alice, TX
National Provider Identifier
1609831379
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MEDICAL IMAGING DIAGNOSTIC ASSOCIATES
Practice address
700 N Airport Rd
Alice, TX 78332
Phone
(361) 661-8000
NPI assigned
Apr 18, 2006
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
James Walton Lively, MD
Title
President
Phone
(361) 906-0969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

700 N Airport Rd
Alice, TX 78332

Mailing address

PO Box 1888
Greenville, TX 75403-1888
Phone (800) 945-2455

National Provider Directory

National Provider Directory

Locations

101 N Shoreline Blvd
Ste 303
Corpus Christi, TX 78401
Phone (512) 883-2991

3537 S Staples
Gulf Coast Imaging
Corpus Christi, TX 78411
Phone (361) 906-0969

1300 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

10201 McPherson Rd
Laredo, TX 78045
Phone (956) 795-7760

2005 E Bustamante St
Laredo, TX 78041
Phone (210) 474-0273

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1609831379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1888",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754031888",
            "telephone_number": "800-945-2455",
            "fax_number": "903-453-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N AIRPORT RD",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "78332",
            "telephone_number": "361-661-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING DIAGNOSTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "LIVELY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WALTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-906-0969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.