Organization
TIDC-GRAPEVINE, 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
5311 WILLIAM D TATE AVE, GRAPEVINE, TX 76051-7365
(817) 267-9500
(817) 545-9400
Mailing address
5311 WILLIAM D TATE AVE, GRAPEVINE, TX 76051-7365
(817) 267-9500
(817) 545-9400
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R22410
TX
Other
Enumeration date
04/18/2006
Last updated
09/19/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up