Provider Demographics
NPI:1194736934
Name:QUEST IMAGING, INC
Entity type:Organization
Organization Name:QUEST IMAGING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABBAS
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHIMI
Authorized Official - Suffix:
Authorized Official - Credentials:BSRT, RTR
Authorized Official - Phone:254-772-2372
Mailing Address - Street 1:PO BOX 21265
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76702-1265
Mailing Address - Country:US
Mailing Address - Phone:254-772-2372
Mailing Address - Fax:254-870-1991
Practice Address - Street 1:208 CHAMA DR
Practice Address - Street 2:
Practice Address - City:HEWITT
Practice Address - State:TX
Practice Address - Zip Code:76643-3368
Practice Address - Country:US
Practice Address - Phone:254-772-2372
Practice Address - Fax:254-870-1991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR25872293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX088051002Medicaid
TX088051003Medicaid
TX188150001OtherPACIFICARE NUMBER
TX470001233OtherPALMETTO GBA NUMBER
TXR25872OtherTEXAS DEPT HEALTH NUMBER
TX088051002Medicaid
TX=========OtherTAX ID NUMBER