Provider Demographics
NPI:1588848527
Name:ADVANCED NUCLEAR IMAGING , INC
Entity Type:Organization
Organization Name:ADVANCED NUCLEAR IMAGING , INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-451-0661
Mailing Address - Street 1:PO BOX 1555
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78540-1555
Mailing Address - Country:US
Mailing Address - Phone:956-451-0661
Mailing Address - Fax:956-412-2125
Practice Address - Street 1:2302 S 77 SUNSHINESTRIP
Practice Address - Street 2:SUITE 101 C
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8313
Practice Address - Country:US
Practice Address - Phone:956-451-0661
Practice Address - Fax:956-412-2125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTN040Medicare PIN