# RADIOLOGY CLINICS OF LAREDO

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

## Provider details

- **NPI number:** 1528226248
- **Authorized official:** DR. SALAH A RAFATI MD. (OWNER)
- **Authorized official phone:** (956) 718-0092

## Contact information

- **Practice address:** 5401 SPRINGFIELD AVE, LAREDO, TX 78041-3296
- **Practice address phone:** (956) 718-0092
- **Practice address fax:** (956) 726-9735
- **Mailing address:** 5401 SPRINGFIELD AVE, LAREDO, TX 78041-3296
- **Mailing address phone:** (956) 718-0092
- **Mailing address fax:** (956) 726-9735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | R20169 | TX | Yes |
| 261QR0206X | Mammography Clinic/Center | M00131 | TX | — |

## Other

- **Enumeration date:** 05/29/2008
- **Last updated:** 09/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 180893 | MAMMOGRAPHY CERT | TX |
| 01 | — | 60024073 | DPS | TX |
| 01 | — | A00131000 | TX DEPT STATE HEALTH ACCR | TX |
| 01 | — | E4146 | TX LIC. | TX |
| 01 | — | M00131 | TX DEPT HEALTH RADIATION | TX |
| 01 | — | R20169 | XRAY CERT | TX |