Professional Radiology Pllc

LBN: Professional Radiology Pllc
Professional Radiology Pllc is an health care organization with primary practice located at 10501 Gateway Blvd W Ste 101 , El Paso TX 79925-7929. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Professional Radiology Pllc can be contacted via phone (915) 225-2480, or through Sarmiento, Jorge Luis via phone (915) 225-2480.

Contact Information

Primary practice address
10501 Gateway Blvd W Ste 101 El Paso TX 79925-7929
Fax: (915) 315-2481
Website:
Authorized official contact:
Name: Sarmiento, Jorge Luis

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1861918815
LBN Legal business name Professional Radiology Pllc
DBA Doing business as
Authorized official Sarmiento, Jorge Luis
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2017
Last updated Oct 28th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861918815 NPPES
Texas MEDICAID 3765729001
Texas Other 598796

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