Organization
LIZA COLCHADO
Active
Other names
STAT MOBILE IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA COLCHADO (OWNER)
(956) 650-0188
Entity
Organization
Contact information
Practice address
4210 VIDA GRANDE, WESLACO, TX 78596-8635
(956) 650-0188
Mailing address
4210 VIDA GRANDE, WESLACO, TX 78596-8635
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
11/24/2014
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