MEDICARE: CLARITY IMAGING INTERNATIONAL, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	247200000X	Other Technician

General Provider Information

NPI Number	:	1427137207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARITY IMAGING INTERNATIONAL, INC

Provider Business Mailing Address
First Line	:	925 S CAPITAL OF TEXAS HWY STE B130
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-4804
Country	:	US
Telephone Number	:	512-828-7237
Fax Number	:	512-329-9691

Provider Business Practice Location Address
First Line	:	925 S CAPITAL OF TEXAS HWY STE B130
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-4804
Country	:	US
Telephone Number	:	512-828-7237
Fax Number	:	512-329-9691

Authorized Official
Title or Position	:	CEO
Name	:	JOHN PAUL RELIC
Credential	:	MPH
Telephone Number	:	512-828-7237

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	08/22/2020

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