Organization
PROFESSIONAL RADIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE LUIS SARMIENTO (CEO/MD)
(915) 225-2480
Entity
Organization
Contact information
Practice address
10501 GATEWAY BLVD W STE 101, EL PASO, TX 79925-7929
(915) 225-2480
(915) 315-2481
Mailing address
10501 GATEWAY BLVD W STE 101, EL PASO, TX 79925-7929
(915) 225-2480
(915) 315-2481
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3765729001
—
TX
01
—
598796
MEDICARE
—
Enumeration date
08/21/2017
Last updated
10/28/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us