Provider Demographics
NPI:1316990393
Name:E PET IMAGING XXIV, L.P.
Entity type:Organization
Organization Name:E PET IMAGING XXIV, L.P.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY OF GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:EYLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-467-7408
Mailing Address - Street 1:1225 E CLIFF DR
Mailing Address - Street 2:BUILDING 3 - SUITE 200
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4732
Mailing Address - Country:US
Mailing Address - Phone:915-313-9395
Mailing Address - Fax:915-313-9810
Practice Address - Street 1:1225 E CLIFF DR
Practice Address - Street 2:BUILDING 3 - SUITE 200
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4732
Practice Address - Country:US
Practice Address - Phone:915-313-9395
Practice Address - Fax:915-313-9810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology