Provider Demographics
NPI:1205946183
Name:JAR ENTERPRICES INC
Entity type:Organization
Organization Name:JAR ENTERPRICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:EMADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-922-0016
Mailing Address - Street 1:2115 PLEASANTON RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1321
Mailing Address - Country:US
Mailing Address - Phone:210-922-0016
Mailing Address - Fax:210-922-0261
Practice Address - Street 1:2115 PLEASANTON RD
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1321
Practice Address - Country:US
Practice Address - Phone:210-922-0016
Practice Address - Fax:210-922-0261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ92982471M1202X
261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154887701Medicaid
TX154887701Medicaid
TXE50193Medicare UPIN