Provider Demographics
NPI:1326756941
Name:TEXAS ULTRASOUND IMAGING LLC
Entity Type:Organization
Organization Name:TEXAS ULTRASOUND IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:956-285-4327
Mailing Address - Street 1:203 SABAL LOOP
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-5015
Mailing Address - Country:US
Mailing Address - Phone:956-285-4327
Mailing Address - Fax:
Practice Address - Street 1:1806 COMMERCE DR STE 202
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2884
Practice Address - Country:US
Practice Address - Phone:946-285-4327
Practice Address - Fax:956-450-7251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
No291U00000XLaboratoriesClinical Medical Laboratory