Provider Demographics
NPI:1669113155
Name:AMAYZING DIAGNOSTIC SERVICES INC
Entity type:Organization
Organization Name:AMAYZING DIAGNOSTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAMOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-228-7184
Mailing Address - Street 1:4601 PICKFAIR ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77026-2918
Mailing Address - Country:US
Mailing Address - Phone:832-228-7184
Mailing Address - Fax:
Practice Address - Street 1:120 W 3RD ST
Practice Address - Street 2:
Practice Address - City:HEARNE
Practice Address - State:TX
Practice Address - Zip Code:77859-2502
Practice Address - Country:US
Practice Address - Phone:800-380-6966
Practice Address - Fax:888-833-0109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center