Provider Demographics
NPI:1639423312
Name:LONE STAR ADVANCED IMAGING SERVICES INC
Entity Type:Organization
Organization Name:LONE STAR ADVANCED IMAGING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTUR
Authorized Official - Middle Name:
Authorized Official - Last Name:YENGOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-973-9223
Mailing Address - Street 1:7901 CAMERON RD # 2-153
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-3831
Mailing Address - Country:US
Mailing Address - Phone:512-973-9223
Mailing Address - Fax:
Practice Address - Street 1:7901 CAMERON RD # 2-153
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-3831
Practice Address - Country:US
Practice Address - Phone:512-973-9223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-02
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Multi-Specialty