Organization Active NPI

Clarus Imaging (Beaumont), LP

  • Radiology Clinic/Center
  • Beaumont, TX
National Provider Identifier
1093905010
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
CLARUS IMAGING (BEAUMONT), LP
Practice address
390 N 11TH St
Beaumont, TX 77702-1802
Phone
(409) 981-5500
Fax
(409) 981-5501
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Mr. Taseer A Badar
Title
Ceo
Phone
(713) 960-6692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

390 N 11TH St
Beaumont, TX 77702-1802

Mailing address

4265 San Felipe St
Suite 1100
Houston, TX 77027-2920
Phone (713) 960-6692

Other identifiers 1

IdentifierTypeStateIssuer
0645DCOtherTXBLUE CROSS/BLUE SHIELD

Other names 1

  • Clarus Imaging Center Other name

National Provider Directory

National Provider Directory

Locations

390 N 11th St
Fl 1
Beaumont, TX 77702
Phone (409) 981-5500

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1093905010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 SAN FELIPE ST",
            "address_2": "SUITE 1100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770272920",
            "telephone_number": "713-960-6692",
            "fax_number": "713-960-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021802",
            "telephone_number": "409-981-5500",
            "fax_number": "409-981-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARUS IMAGING (BEAUMONT), LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "BADAR",
        "authorized_official_first_name": "TASEER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-960-6692",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0645DC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarus Imaging Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.