Provider Demographics
NPI:1609387307
Name:SHUTTLE X-RAY, LLC
Entity Type:Organization
Organization Name:SHUTTLE X-RAY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:BEHJAT
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:800-541-9729
Mailing Address - Street 1:13313 CUTTEN RD APT 11101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-2386
Mailing Address - Country:US
Mailing Address - Phone:800-541-2792
Mailing Address - Fax:888-541-1647
Practice Address - Street 1:13313 CUTTEN RD APT 11101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-2386
Practice Address - Country:US
Practice Address - Phone:800-541-2792
Practice Address - Fax:888-541-1647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-20
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier