Provider Demographics
NPI:1366495244
Name:E PLUS PET IMAGING XI LP
Entity Type:Organization
Organization Name:E PLUS PET IMAGING XI LP
Other - Org Name:PET IMAGING OF SUGAR LAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO OF GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RHYMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-467-7415
Mailing Address - Street 1:17320 W GRAND PKWY S
Mailing Address - Street 2:SUITE A
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-7902
Mailing Address - Country:US
Mailing Address - Phone:832-595-2713
Mailing Address - Fax:832-595-2714
Practice Address - Street 1:17320 W GRAND PKWY S
Practice Address - Street 2:SUITE A
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-7902
Practice Address - Country:US
Practice Address - Phone:832-595-2713
Practice Address - Fax:832-595-2714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0448DCOtherBLUE CROSS/BLUE SHIELD
P00212622OtherRRMEDICARE
TX0448DCOtherBLUE CROSS/BLUE SHIELD