Organization
D-RAD MOBILE IMAGING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL RODRIGUEZ (PRESIDENT)
(512) 994-7600
Entity
Organization
Contact information
Practice address
1387 GEORGE DIETER DR STE D-105, EL PASO, TX 79936-7410
(915) 500-5808
(915) 232-9835
Mailing address
1387 GEORGE DIETER DR STE D-105, EL PASO, TX 79936-7410
(915) 500-5808
(915) 232-9835
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
GMR02001836
TX
291U00000X
Clinical Medical Laboratory
—
—
293D00000X
Physiological Laboratory
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397982501
—
TX
01
—
GMR02001836
TEXAS LICENSE
TX
Enumeration date
07/14/2018
Last updated
03/23/2026
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