Provider Demographics
NPI:1730377359
Name:URGENT PORTABLE X-RAYS, LLC
Entity type:Organization
Organization Name:URGENT PORTABLE X-RAYS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FLAVIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTANEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-791-0044
Mailing Address - Street 1:5615 SAN DARIO AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-3023
Mailing Address - Country:US
Mailing Address - Phone:956-791-0044
Mailing Address - Fax:956-791-5044
Practice Address - Street 1:9114 MCPHERSON RD
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-6473
Practice Address - Country:US
Practice Address - Phone:956-791-0044
Practice Address - Fax:956-791-5044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9129261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile