Healthcare Provider Details
I. General information
NPI: 1760433403
Provider Name (Legal Business Name): ASAP DIAGNOSTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/15/2006
Last Update Date: 08/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
405 W MOORE ST
KYLE TX
78640-5684
US
IV. Provider business mailing address
405 W MOORE ST
KYLE TX
78640-5684
US
V. Phone/Fax
- Phone: 512-268-8070
- Fax: 866-551-2720
- Phone: 512-268-8070
- Fax: 866-551-2720
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246W00000X |
| Taxonomy | Cardiology Technician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246XS1301X |
| Taxonomy | Sonography Specialist/Technologist Cardiovascular |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2471S1302X |
| Taxonomy | Sonography Radiologic Technologist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2471V0105X |
| Taxonomy | Vascular Sonography Radiologic Technologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
HILTON
R.
HITT
Title or Position: ADMINISTRATOR
Credential:
Phone: 512-268-8070