Provider Demographics
NPI:1881298073
Name:CLEAR IMAGING AND DIAGNOSTICS LLC
Entity type:Organization
Organization Name:CLEAR IMAGING AND DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:PHUONG
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-867-9441
Mailing Address - Street 1:12435 BEECHNUT ST STE 108
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-3989
Mailing Address - Country:US
Mailing Address - Phone:832-867-9441
Mailing Address - Fax:
Practice Address - Street 1:12435 BEECHNUT ST STE 108
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-3989
Practice Address - Country:US
Practice Address - Phone:832-699-3100
Practice Address - Fax:832-699-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-28
Last Update Date:2020-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology