Provider Demographics
NPI:1003087214
Name:CORPUS CHRISTI MRI LTD
Entity Type:Organization
Organization Name:CORPUS CHRISTI MRI LTD
Other - Org Name:COASTAL IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:STARTUP COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:D
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:BAGNALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-570-1900
Mailing Address - Street 1:5945 MCARDLE RD # 125
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-3490
Mailing Address - Country:US
Mailing Address - Phone:361-652-0025
Mailing Address - Fax:361-485-0834
Practice Address - Street 1:8902 N NAVARRO ST STE 400
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-1422
Practice Address - Country:US
Practice Address - Phone:361-652-0025
Practice Address - Fax:361-485-0834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)