Healthcare Provider Details

I. General information

NPI: 1366690349
Provider Name (Legal Business Name): COMPLETE IMAGING SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 10/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 N SKYFLOWER CT
SPRING TX
77381-2980
US

IV. Provider business mailing address

PO BOX 132824
SPRING TX
77393-2824
US

V. Phone/Fax

Practice location:
  • Phone: 281-419-0530
  • Fax: 281-664-4850
Mailing address:
  • Phone: 281-419-0530
  • Fax: 281-664-4850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. SIAN NAVA
Title or Position: DIRECTOR
Credential:
Phone: 832-585-2447