# LIZA COLCHADO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STAT MOBILE IMAGING
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184023335
- **Authorized official:** LIZA COLCHADO (OWNER)
- **Authorized official phone:** (956) 650-0188

## Contact information

- **Practice address:** 4210 VIDA GRANDE, WESLACO, TX 78596-8635
- **Practice address phone:** (956) 650-0188
- **Mailing address:** 4210 VIDA GRANDE, WESLACO, TX 78596-8635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2014
- **Last updated:** 11/24/2014