1043677933 NPI number — RIGHT CHOICE ADVANCED IMAGING

Table of content: (NPI 1043677933)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043677933 NPI number — RIGHT CHOICE ADVANCED IMAGING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RIGHT CHOICE ADVANCED IMAGING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043677933
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/22/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1340
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOMBALL
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77377-1340
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-494-6700
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2490 FM 2920 RD
Provider Second Line Business Practice Location Address:
STE 200
Provider Business Practice Location Address City Name:
SPRING
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77388-3417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-494-6700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/22/2016

Additional Information

Authorized Official

Authorized Official Last Name:
TAYLOR
Authorized Official First Name:
TAMMI
Authorized Official Middle Name:
Authorized Official Title or Position:
CREDNTIALING MANAGER
Authorized Official Telephone Number:
713-494-6700

Provider Taxonomy Codes

  • Taxonomy code: 261QR0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1982069878 . This is a "NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com