Provider Demographics
NPI:1699267807
Name:REMINGTON IMAGING SERVICES, LLC
Entity type:Organization
Organization Name:REMINGTON IMAGING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PEPRAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-920-3339
Mailing Address - Street 1:2418 ZEPHYR LN
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-1737
Mailing Address - Country:US
Mailing Address - Phone:979-267-3643
Mailing Address - Fax:
Practice Address - Street 1:3751 S DAIRY ASHFORD RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-5673
Practice Address - Country:US
Practice Address - Phone:832-328-0044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX176476261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile