Provider Demographics
NPI:1114323375
Name:PIONEER IMAGING, LLC
Entity Type:Organization
Organization Name:PIONEER IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FAHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-300-4601
Mailing Address - Street 1:10700 STANCLIFF RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-4307
Mailing Address - Country:US
Mailing Address - Phone:832-300-4601
Mailing Address - Fax:832-300-4145
Practice Address - Street 1:10700 STANCLIFF RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-4307
Practice Address - Country:US
Practice Address - Phone:832-300-4601
Practice Address - Fax:832-300-4145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-14
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology