Provider Demographics
NPI:1578670469
Name:AMAR DIAGNOSTIC & IMAGING LLC
Entity Type:Organization
Organization Name:AMAR DIAGNOSTIC & IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BIPIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-332-4848
Mailing Address - Street 1:11925 SOUTHWEST FREEWAY
Mailing Address - Street 2:STE #4
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477
Mailing Address - Country:US
Mailing Address - Phone:281-495-5150
Mailing Address - Fax:281-495-5152
Practice Address - Street 1:11925 SOUTHWEST FREEWAY
Practice Address - Street 2:STE #4
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477
Practice Address - Country:US
Practice Address - Phone:281-495-5150
Practice Address - Fax:281-495-5152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1781643Medicaid