Provider Demographics
NPI:1043991649
Name:STONE IMAGING, LLC
Entity Type:Organization
Organization Name:STONE IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:SHEA
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:325-242-0877
Mailing Address - Street 1:207 SIDNEY BAKER ST S STE B
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-6073
Mailing Address - Country:US
Mailing Address - Phone:830-496-3357
Mailing Address - Fax:830-496-3347
Practice Address - Street 1:207 SIDNEY BAKER ST S STE B
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-6073
Practice Address - Country:US
Practice Address - Phone:830-496-3357
Practice Address - Fax:830-496-3347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-26
Last Update Date:2024-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)Group - Single Specialty