Provider Demographics
NPI:1437105376
Name:APEX DIAGNOSTIC IMAGING LLP
Entity Type:Organization
Organization Name:APEX DIAGNOSTIC IMAGING LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTHERWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-864-9696
Mailing Address - Street 1:1320 AIRPORT FWY
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-6777
Mailing Address - Country:US
Mailing Address - Phone:817-864-9696
Mailing Address - Fax:817-864-9369
Practice Address - Street 1:1320 AIRPORT FWY
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6777
Practice Address - Country:US
Practice Address - Phone:817-864-9696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2088R0202X261QM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTX180Medicare ID - Type Unspecified