Organization Active NPI

Molecular Imaging Technologies

  • Multi-Specialty Clinic/Center
  • El Paso, TX
National Provider Identifier
1922504588
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MOLECULAR IMAGING TECHNOLOGIES
Practice address
7812 Gateway Blvd E Ste 120B
El Paso, TX 79915-1803
Phone
(915) 577-0100
Fax
(915) 400-0427
NPI assigned
Apr 3, 2018
Last updated
Feb 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Leroy Candelaria
Title
President
Phone
(915) 577-0100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

7812 Gateway Blvd E Ste 120B
El Paso, TX 79915-1803

Mailing address

7812 Gateway Blvd E Ste 120B
El Paso, TX 79915-1803
Phone (915) 577-0100

Other identifiers 2

IdentifierTypeStateIssuer
1B0565OtherTXMEDICARE
123456MedicaidTX

National Provider Directory

National Provider Directory

Locations

121 Paragon Ln
Ste 100
El Paso, TX 79912

4855 N Mesa St
Ste 130
El Paso, TX 79912

7812 Gateway Blvd E
Ste 120B
El Paso, TX 79915

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1922504588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7812 GATEWAY BLVD E STE 120B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151803",
            "telephone_number": "915-577-0100",
            "fax_number": "915-533-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7812 GATEWAY BLVD E STE 120B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151803",
            "telephone_number": "915-577-0100",
            "fax_number": "915-400-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLECULAR IMAGING TECHNOLOGIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "CANDELARIA",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-577-0100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1B0565",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123456",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.