Organization Active NPI

Cmu Imaging Center LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Mission, TX
National Provider Identifier
1619252863
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
CMU IMAGING CENTER LLC
Practice address
1300 S Bryan Rd Ste 104
Mission, TX 78572-6688
Phone
(956) 583-0004
Fax
(956) 583-5790
NPI assigned
Oct 19, 2011
Last updated
Oct 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Mr. Jesus Castrellon, RT (R) (ARRT)
Title
Administrator
Phone
(956) 583-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X TX Primary

Addresses

Primary practice location

1300 S Bryan Rd Ste 104
Mission, TX 78572-6688

Mailing address

PO Box 2763
Edinburg, TX 78540-2763
Phone (956) 583-0004

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1619252863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2763",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785402763",
            "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": "CMU IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "CASTRELLON",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-583-0004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT (R) (ARRT)"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.