Provider Demographics
NPI:1699728139
Name:E PLUS PET IMAGING II LP
Entity type:Organization
Organization Name:E PLUS PET IMAGING II LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO OF GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RHYMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-467-7415
Mailing Address - Street 1:2493A S BRAESWOOD BLVD
Mailing Address - Street 2:KIRBY GLENN CENTER
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4332
Mailing Address - Country:US
Mailing Address - Phone:832-200-2828
Mailing Address - Fax:832-200-2829
Practice Address - Street 1:2493A S BRAESWOOD BLVD
Practice Address - Street 2:KIRBY GLENN CENTER
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4332
Practice Address - Country:US
Practice Address - Phone:832-200-2828
Practice Address - Fax:832-200-2829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00093361OtherRRMEDICARE
TX0310DCOtherBLUE CROSS/BLUE SHIELD
P00093361OtherRRMEDICARE