Provider Demographics
NPI:1700158656
Name:PALLA RPS LLC
Entity Type:Organization
Organization Name:PALLA RPS LLC
Other - Org Name:KATY IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PRASANNA
Authorized Official - Middle Name:K
Authorized Official - Last Name:PALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-394-2897
Mailing Address - Street 1:6410 VIRGINIA FIELDS DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0329
Mailing Address - Country:US
Mailing Address - Phone:281-394-2897
Mailing Address - Fax:
Practice Address - Street 1:6410 VIRGINIA FIELDS DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0329
Practice Address - Country:US
Practice Address - Phone:281-394-2897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile