Organization
RADIOLOGY CLINICS OF LAREDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALAH A RAFATI MD. (OWNER)
(956) 718-0092
Entity
Organization
Contact information
Practice address
5401 SPRINGFIELD AVE, LAREDO, TX 78041-3296
(956) 718-0092
(956) 726-9735
Mailing address
5401 SPRINGFIELD AVE, LAREDO, TX 78041-3296
(956) 718-0092
(956) 726-9735
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
R20169
TX
261QR0206X
Mammography Clinic/Center
M00131
TX
Other
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
Enumeration date
05/29/2008
Last updated
09/03/2008
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