NPIMap

Organization Active NPI

Surgi-Rad Technologies, LLC

  • Specialist
  • Montgomery, TX
National Provider Identifier
1053697466
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
SA00358 Issued in TX
Legal business name
SURGI-RAD TECHNOLOGIES, LLC
Practice address
18989 Harbor Side Blvd
Montgomery, TX 77356-3224
Phone
(936) 494-8266
Fax
(936) 582-4445
NPI assigned
Oct 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Genee Marriott-Emfinger, LSANPI 1912180068
Title
Owner
Phone
(936) 494-8266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X SA00358 TX Primary

Addresses

Primary practice location

18989 Harbor Side Blvd
Montgomery, TX 77356-3224

Mailing address

PO Box 8556
Spring, TX 77387-8556
Phone (936) 494-8266

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1319932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1053697466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8556",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773878556",
            "telephone_number": "936-494-8266",
            "fax_number": "936-582-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18989 HARBOR SIDE BLVD",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773563224",
            "telephone_number": "936-494-8266",
            "fax_number": "936-582-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGI-RAD TECHNOLOGIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-30",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "MARRIOTT-EMFINGER",
        "authorized_official_first_name": "GENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-494-8266",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "SA00358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.