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Organization
GULF COAST IMAGING & ASSOCIATES, LLC
Active
Organization
GULF COAST IMAGING & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONEL RIVERA RN-BSN (OWNER)
(361) 563-3352
Entity
Organization
Contact information
Practice address
500 E CAESAR AVE STE B, KINGSVILLE, TX 78363-6322
(361) 221-8101
Mailing address
500 E CAESAR AVE STE B, KINGSVILLE, TX 78363-6322
(361) 221-8101
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
NULL
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
NULL
Other
Enumeration date
05/17/2018
Last updated
07/25/2023
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