Organization Active NPI

Maximum Resolution Imaging LLC

  • Radiology Clinic/Center
  • Richmond, TX
National Provider Identifier
1003525528
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MAXIMUM RESOLUTION IMAGING LLC
Practice address
5530 Long Prairie Trce Ste 300
Richmond, TX 77407-2331
Phone
(281) 712-8033
NPI assigned
Nov 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Humaira Mushtaq Qureshi
Title
Authorized Official
Phone
(281) 712-8033

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Mobile Radiology Clinic/Center 261QR0208X
Physiological Laboratory 293D00000X

Addresses

Primary practice location

5530 Long Prairie Trce Ste 300
Richmond, TX 77407-2331

Mailing address

5530 Long Prairie Trce Ste 300
Richmond, TX 77407-2331
Phone (281) 712-8033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231110001329 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6507213675 Practice locations: Richmond, TX
O20250703000691 TX Part B Supplier - Clinic/Group Practice 6507213675 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1003525528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 LONG PRAIRIE TRCE STE 300",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072331",
            "telephone_number": "281-712-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 LONG PRAIRIE TRCE STE 300",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072331",
            "telephone_number": "281-712-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM RESOLUTION IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "HUMAIRA",
        "authorized_official_middle_name": "MUSHTAQ",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "281-712-8033",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.