=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578670469
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMAR DIAGNOSTIC & IMAGING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/24/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11925 SOUTHWEST FREEWAY STE #4
-----------------------------------------------------
City | STAFFORD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77477
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-495-5150
-----------------------------------------------------
Fax | 281-495-5152
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11925 SOUTHWEST FREEWAY STE #4
-----------------------------------------------------
City | STAFFORD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77477
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-495-5150
-----------------------------------------------------
Fax | 281-495-5152
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | BIPIN PATEL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 281-332-4848
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM1200X
-----------------------------------------------------
Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------