Provider Demographics
NPI:1588898183
Name:CARDIAC PET IMAGING, LLC
Entity type:Organization
Organization Name:CARDIAC PET IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HEWITT
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:832-467-4404
Mailing Address - Street 1:11050 W LITTLE YORK RD
Mailing Address - Street 2:SUITE C-2
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-5055
Mailing Address - Country:US
Mailing Address - Phone:832-467-4404
Mailing Address - Fax:832-467-4444
Practice Address - Street 1:11050 W LITTLE YORK RD
Practice Address - Street 2:SUITE C-2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-5055
Practice Address - Country:US
Practice Address - Phone:832-467-4404
Practice Address - Fax:832-467-4444
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NIS HOLDING, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-11
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile