Provider Demographics
NPI:1457695942
Name:SPI SCANNING LLC
Entity Type:Organization
Organization Name:SPI SCANNING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SPIRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-722-6774
Mailing Address - Street 1:9816 MEMORIAL BLVD
Mailing Address - Street 2:207
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4255
Mailing Address - Country:US
Mailing Address - Phone:888-722-6774
Mailing Address - Fax:888-831-0199
Practice Address - Street 1:9816 MEMORIAL BLVD
Practice Address - Street 2:207
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4255
Practice Address - Country:US
Practice Address - Phone:888-722-6774
Practice Address - Fax:888-831-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-21
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory