TIDC-IRVING, INC


Address: 3636 N Macarthur Blvd, Suite 170, Irving, TX 75062-3637
Phone: 9722559444

TIDC-IRVING, INC (NPI# 1154385102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154385102
Entity Type Organization
Organization Name TIDC-IRVING, INC
Other Organization Name TEXAS IMAGING & DIAGNOSTIC CENTER
Practice Address 3636 N Macarthur Blvd
Suite 170
Irving
TX 75062-3637
Practice Telephone 9722559444
Practice Fax Number 9725704664
Mailing Telephone 9722559444
Mailing Fax Number 9725704664
Enumeration Date 2006-04-14
Last Update Date 2007-07-30
Authorized Official Name EMIL GEORGIO CERULLO (CEO)
Authorized Official Telephone 2143575229
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
R22410 TX Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Texas Imaging & Diagnostic Center Doing Business As Name - Organization

Office Location

Street Address 3636 N MACARTHUR BLVD
SUITE 170
City IRVING
State TX
Zip Code 75062-3637

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689675746 Robert S. Eisenberg Ophthalmology 3636 N Macarthur Blvd, Suite 135, Irving, TX 75062-3691 2005-08-10
1962880732 Peiyi Cheng Acupuncturist 3636 N Macarthur Blvd, Suite 185, Irving, TX 75062-3691 2015-05-13
1467830232 Mengchen Hao Acupuncturist 3636 N Macarthur Blvd, Suite 185, Irving, TX 75062-3691 2015-05-13
1437537420 Cipm Acupuncturist 3636 N Macarthur Blvd, Suite 185, Irving, TX 75062-3691 2015-05-11
1922371889 Laura Lee Linderman Chiropractor 3636 N Macarthur Blvd, Suite 185, Irving, TX 75062-3691 2012-02-22
1659420578 Robert S Eisenberg, Md Pa Ophthalmology 3636 N Macarthur Blvd, Ste 135, Irving, TX 75062-3691 2007-01-09
1861558611 Richard Miles Rice Chiropractor 3636 N Macarthur Blvd, Suite 185, Irving, TX 75062-3637 2006-12-28
1205994498 Sandra L Sieber Dentist 3636 N Macarthur Blvd, Ste 140, Irving, TX 75062-3637 2006-12-04
1306946504 Cathryn Woeber Kolker Chiropractor 3636 N Macarthur Blvd, Suite 185, Irving, TX 75062 2006-09-25
1548210537 Jason Aubrey Watkins Chiropractor 3636 N Macarthur Blvd, Suite 185, Irving, TX 75062-3637 2006-05-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164029039 Parham Dental Team, Pllc Dentist 3100 N O'connor Rd, # 100, Irving, TX 75062 2020-10-05
1649896119 Evolve Medical Supply & Equipment, LLC Durable Medical Equipment & Medical Supplies 4953 N. O'connor Rd., Suite 150, Irving, TX 75062 2020-06-22
1376198507 Sanitas Medical Center of Texas Pa Family Medicine 3917 West Airport Freeway, Irving, TX 75062 2019-08-05
1295392306 Rami Marwan El-bkaily Optometrist 4100 W Airport Fwy Unit 100, Irving, TX 75062 2019-05-23
1891352118 Smazy Enterprise LLC Optometrist W. Airport Freeway, Ste 122, Irving, TX 75062 2019-05-22
1568029023 Bcs Management LLC Physical Therapist 2642 N Belt Line Rd, Suite 2642, Irving, TX 75062 2019-05-21
1639633696 In His Image Counseling Center, Pllc Marriage & Family Therapist 4425 W. Airport Fwy, Suite 244, Irving, TX 75062 2019-01-24
1316446701 Thinh Le Dentist 4040 W. Northgate Dr., Irving, TX 75062 2018-02-12
1366972259 Erick Marquez Dentist 118 E John W Carpenter Fwy, #170, Irving, TX 75062 2017-06-14
1740718584 Cosmetic Companions LLC Home Health 320 Decker Dr Ste 100, Irving, TX 75062 2017-05-24
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083959605 James Newton Camak Jr. Radiology 3801 Acapulco Ct, Irving, TX 75062-6500 2012-12-07
1003161530 Thomas Joe Radiology 3909 Acapulco St, Irving, TX 75062-6513 2012-07-20
1770893828 Donald Leigh Oberlin Radiology 4743 Byron Circle, Irving, TX 75038 2010-10-07
1750456208 Helen T Ramey Radiology 1209 Mosswood Ln, Irving, TX 75061-4525 2006-11-21
1356442040 Jose Rivero Radiology 8411 Sterling St, Suite 101, Irving, TX 75063-1901 2006-09-26
1063439883 Us Radiology Partners of Texas Inc Radiology 8411 Sterling Street, Irving, TX 33316 2006-07-16
1902830409 Susan M Straten Radiology 2021 N Macarthur Blvd Ste 115, Irving, TX 75061-2210 2006-07-10
1184683757 Craig B Mcardle Radiology 102 Decker Ct, Suite 205, Irving, TX 75062-2740 2006-03-21
1124094255 Leonard Gross Radiology 1110 Cottonwood Lane, Suite 100, Irving, TX 75038 2006-02-28
1609848365 Howard L Stoll Radiology 845 Main Rd, Irving, NY 14081-9706 2006-02-06
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Competitor

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City IRVING
Zip Code 75062

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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