Provider Demographics
NPI:1538314570
Name:EL PASO DIAGNOSTIC IMAGING CT LTD
Entity Type:Organization
Organization Name:EL PASO DIAGNOSTIC IMAGING CT LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-544-2455
Mailing Address - Street 1:7430 REMCON CIR
Mailing Address - Street 2:BLDG B STE 110
Mailing Address - City:EL PASO
Mailing Address - State:NA
Mailing Address - Zip Code:79912
Mailing Address - Country:UM
Mailing Address - Phone:915-544-2455
Mailing Address - Fax:915-544-3149
Practice Address - Street 1:1810 MURCHISON DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2906
Practice Address - Country:US
Practice Address - Phone:915-544-2455
Practice Address - Fax:915-544-3149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty