Provider Demographics
NPI:1669744298
Name:PERMIAN DIAGNOSTICS PLLC
Entity type:Organization
Organization Name:PERMIAN DIAGNOSTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-970-5900
Mailing Address - Street 1:2701 RACQUET CLUB DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-7432
Mailing Address - Country:US
Mailing Address - Phone:281-970-5900
Mailing Address - Fax:281-970-5913
Practice Address - Street 1:2701 RACQUET CLUB DR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-7432
Practice Address - Country:US
Practice Address - Phone:281-970-5900
Practice Address - Fax:281-970-5913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN 434341811