Organization
THE MEDICAL SHOP, INC
Active
Organization
THE MEDICAL SHOP, INC
Active
Other names
Texas Imaging & Diagnostic Center
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL GEORGIO CERULLO (CEO)
(214) 357-5229
Entity
Organization
Contact information
Practice address
3840 W NORTHWEST HWY, SUITE 400, DALLAS, TX 75220-5162
(214) 357-5229
(214) 357-5488
Mailing address
3840 W NORTHWEST HWY, SUITE 400, DALLAS, TX 75220-5162
(214) 357-5229
(214) 357-5488
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
R21910
TX
2471C3401X
Computed Tomography Radiologic Technologist
R21910
TX
2471C3402X
Radiography Radiologic Technologist
R21910
TX
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
R21910
TX
Other
Enumeration date
07/08/2005
Last updated
09/11/2025
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