Provider Demographics
NPI:1184760225
Name:EXPERT IMAGING CENTER OF LAREDO
Entity type:Organization
Organization Name:EXPERT IMAGING CENTER OF LAREDO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-339-3135
Mailing Address - Street 1:6019 MCPHERSON RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6178
Mailing Address - Country:US
Mailing Address - Phone:956-723-9400
Mailing Address - Fax:956-723-9410
Practice Address - Street 1:6019 MCPHERSON RD
Practice Address - Street 2:SUITE 8
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6178
Practice Address - Country:US
Practice Address - Phone:956-723-9400
Practice Address - Fax:956-723-9410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTX174Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER