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
Organization subpart
No

Authorized official

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 19, 2011.

{
    "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.