The Medical Shop, Inc

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

License

R21910 Issued in TX

Legal business name

THE MEDICAL SHOP, INC

Practice address

3840 W Northwest Hwy
Suite 400
Dallas, TX 75220-5162

Phone

(214) 357-5229

Fax

(214) 357-5488

NPI assigned

Jul 8, 2005

Organization subpart

No

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

Authorized official

Name

Emil Georgio Cerullo

Title

Ceo

Phone

(214) 357-5229

Specialties & licenses 4

Addresses

Other names 1

• Texas Imaging & Diagnostic Center Doing business as

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1669470241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 W NORTHWEST HWY",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752205162",
            "telephone_number": "214-357-5229",
            "fax_number": "214-357-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 W NORTHWEST HWY",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752205162",
            "telephone_number": "214-357-5229",
            "fax_number": "214-357-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL SHOP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CERULLO",
        "authorized_official_first_name": "EMIL",
        "authorized_official_middle_name": "GEORGIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-357-5229"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": "TX",
            "license": "R21910",
            "primary": false
        },
        {
            "code": "2471C3401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "TX",
            "license": "R21910",
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": "TX",
            "license": "R21910",
            "primary": false
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "TX",
            "license": "R21910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Imaging & Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Magnetic Resonance Imaging Radiologic Technologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Magnetic Resonance Imaging Radiologic Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.