THE MEDICAL SHOP, INC


Address: 3840 W Northwest Hwy, Suite 400, Dallas, TX 75220-5162
Phone: 2143575229

THE MEDICAL SHOP, INC (NPI# 1669470241) 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) 1669470241
Entity Type Organization
Organization Name THE MEDICAL SHOP, INC
Other Organization Name TEXAS IMAGING & DIAGNOSTIC CENTER
Practice Address 3840 W Northwest Hwy
Suite 400
Dallas
TX 75220-5162
Practice Telephone 2143575229
Practice Fax Number 2143575488
Mailing Telephone 2143575229
Mailing Fax Number 2143575488
Enumeration Date 2005-07-08
Last Update Date 2020-08-22
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
X 247100000X Radiologic Technologist R21910 TX Technologists, Technicians & Other Technical Service Providers
X 2471C3401X Radiologic Technologist
Specialization: Computed Tomography
R21910 TX Technologists, Technicians & Other Technical Service Providers
X 2471C3402X Radiologic Technologist
Specialization: Radiography
R21910 TX Technologists, Technicians & Other Technical Service Providers
X 2471M1202X Radiologic Technologist
Specialization: Magnetic Resonance Imaging
R21910 TX Technologists, Technicians & Other Technical Service Providers

Other Provider/Organization Names

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

Office Location

Street Address 3840 W NORTHWEST HWY
SUITE 400
City DALLAS
State TX
Zip Code 75220-5162

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144284191 Xtreme Orthotics & Prosthetics, Inc Durable Medical Equipment & Medical Supplies 3840 W Northwest Hwy, Suite 400, Dallas, TX 75220-5162 2006-04-14

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NPI Name Taxonomy Address Enumeration
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1760828404 Chrisbibi Homehealth Agency Inc Nursing Care 2514 Community Dr Suite 107, Dallas, TX 75220 2013-05-21
1841540697 Suzanne Eades Psychologist 9407 Midway Road, Dallas, TX 75220 2012-09-19
1215210141 Susan Pham Pharmacist 3732 W. Northwest Hwy, Dallas, TX 75220 2011-09-27
1740507573 Mifamilia Medical, Pllc General Practice 2445 W Northwest Hwy 105, Dallas, TX 75220 2010-05-04
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1154554434 Amanda L Carlile Nurse Practitioner 3978 Beechwood Ln, Dallas, TX 75220 2009-09-02
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Taxonomy Information

Taxonomy Code 247100000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist

Taxonomy Definition

An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467087049 Alaa Mohamed Radiologic Technologist 8330 Lyndon B Johnson Fwy Ste B302, Dallas, TX 75243-1166 2020-03-04
1700339959 Nina Tokpawhiea Radiologic Technologist 9900 Adleta Blvd Apt 711, Dallas, TX 75243-9211 2016-07-24
1508101718 Cross Diagnostic Imaging Inc Radiologic Technologist 2701 S Hampton Rd Ste 140, Dallas, TX 75224-2363 2012-11-29
1427002682 Osteoporosis Screening Services Inc Radiologic Technologist 2301 S Hampton Rd Ste 700, Dallas, TX 75224-1678 2006-05-20
1396291548 Marveline Pacheco Radiologic Technologist 9441 Lbj Frwy, #602, Dallas, TX 75243 2016-08-28
1407226129 Clifton Wright Radiologic Technologist 2201 Main St, Ste1299, Dallas, TX 75201-4327 2015-10-07
1891122503 Universal Imaging Services LLC Radiologic Technologist 13154 Coit Rd, #202, Dallas, TX 75240-5773 2013-09-26
1790719722 Carrie Lynn Robson Radiologic Technologist 9850 N Central Expy, #268, Dallas, TX 75231-4325 2006-07-10
1114971637 Quality Portable X-ray, LLC Radiologic Technologist 9850 N Central Expy, #268, Dallas, TX 75231-4325 2006-05-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346882628 247 Mobile X-ray Services LLC Radiologic Technologist 10407 Shanley Landing Ct, Richmond, TX 77407-2727 2019-10-08
1205308707 Dax Eli Wagner Radiologic Technologist 815 Hanks St, Lufkin, TX 75904-4961 2018-12-20
1578041828 Sarah Nichole Northcutt Radiologic Technologist 12517 Nicholas Pl, Rhome, TX 76078-6064 2018-07-30
1649779448 Rafael Rodriguez Radiologic Technologist 11365 Montwood Dr Ste A, El Paso, TX 79936-3867 2018-02-07
1568997559 Gregory Abdullah Radiologic Technologist 134 E Mistletoe Ave, San Antonio, TX 78212-3407 2017-04-27
1093261604 Julio Alcala Radiologic Technologist 10291 Pellicano Suite 102, El Paso, TX 79935 2016-09-01
1780058032 Daniel Benard Suniga Radiologic Technologist 2250 Holly Hall St Apt 345, Houston, TX 77054-3941 2015-11-24
1104292119 William Lewis Snyder Jr. Radiologic Technologist 551 Renee Ln, Desoto, TX 75115-5161 2015-08-12
1154717718 Malina Marsh Radiologic Technologist 2110 Mariposa Lane, Arlington, TX 76101 2015-04-10
1427444017 Anthony Dumas Jr. Radiologic Technologist 8433 Fm 1464 Rd # C-5, Richmond, TX 77407-1102 2015-04-09
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Competitor

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City DALLAS
Zip Code 75220

Improve Information

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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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