Provider Demographics
NPI:1972846889
Name:SCAN-IT DIANGOSTIC SERVICES
Entity Type:Organization
Organization Name:SCAN-IT DIANGOSTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSALIND
Authorized Official - Middle Name:WILLIAMS
Authorized Official - Last Name:CIESLEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-907-8489
Mailing Address - Street 1:10330 LAKE RD STE M
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1886
Mailing Address - Country:US
Mailing Address - Phone:713-960-4461
Mailing Address - Fax:832-912-1989
Practice Address - Street 1:10330 LAKE RD STE M
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1886
Practice Address - Country:US
Practice Address - Phone:713-960-4461
Practice Address - Fax:832-912-1989
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TAYJEN ENTERPRISES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology