MEDICARE: E PLUS PET IMAGING VIII LP

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	261QR0200X	Radiology Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00102462	OTHER		RRMEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0375DC	OTHER	TX	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1568415529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E PLUS PET IMAGING VIII LP

Provider Business Mailing Address
First Line	:	3091 COLLEGE PARK DR STE 340
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77384-8026
Country	:	US
Telephone Number	:	936-271-4060
Fax Number	:	936-271-4063

Provider Business Practice Location Address
First Line	:	3091 COLLEGE PARK DR
Second Line	:	SUITE 340
City	:	THE WOODLANDS
State	:	TX
Zip	:	77384-8023
Country	:	US
Telephone Number	:	936-271-4060
Fax Number	:	936-271-4063

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT & CFO
Name	:	CHAOQIANG LIN
Credential	:
Telephone Number	:	214-587-4079

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	12/01/2025

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Directions to “E PLUS PET IMAGING VIII LP ” Practice Location

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