# DIAGNOSTIC GROUP IMAGING PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477933299
- **Authorized official:** BRAD THIBODAUX (CHIEF DATA OFFICER)
- **Authorized official phone:** (409) 730-2022

## Contact information

- **Practice address:** 3480 COLLEGE ST, SUITE 200, BEAUMONT, TX 77701
- **Practice address phone:** (409) 813-1677
- **Practice address fax:** (409) 813-1699
- **Mailing address:** 3406 COLLEGE ST, SUITE 200, BEAUMONT, TX 77701-4612
- **Mailing address phone:** (409) 813-1677
- **Mailing address fax:** (409) 813-1699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2015
- **Last updated:** 07/30/2018