=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629216510
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A1 IMAGING CENTERS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/30/2009
-----------------------------------------------------
Last Update Date | 01/30/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17482 NORTHWEST FWY
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77040-1024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-856-5955
-----------------------------------------------------
Fax | 713-856-7107
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2 N TAMIAMI TRL SUITE 800
-----------------------------------------------------
City | SARASOTA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34236-5574
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-925-3490
-----------------------------------------------------
Fax | 941-953-4452
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SVP
-----------------------------------------------------
Name | ALAN BABITZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 941-925-3490
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM1200X
-----------------------------------------------------
Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------