Organization Active NPI

Quest Imaging, Inc

  • Physiological Laboratory
  • Hewitt, TX
National Provider Identifier
1194736934
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
R25872 Issued in TX
Legal business name
QUEST IMAGING, INC
Practice address
208 Chama Dr
Hewitt, TX 76643-3368
Phone
(254) 772-2372
Fax
(254) 870-1991
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Abbas Rahimi, BSRT, RTR
Title
President
Phone
(254) 772-2372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X R25872 TX Primary

Addresses

Primary practice location

208 Chama Dr
Hewitt, TX 76643-3368

Mailing address

PO Box 21265
Waco, TX 76702-1265
Phone (254) 772-2372

Other identifiers 5

IdentifierTypeStateIssuer
088051002MedicaidTX
088051003MedicaidTX
188150001OtherTXPACIFICARE NUMBER
470001233OtherTXPALMETTO GBA NUMBER
R25872OtherTXTEXAS DEPT HEALTH NUMBER

National Provider Directory

National Provider Directory

Locations

688 Alliance Pkwy
#207
Hewitt, TX 76643
Phone (254) 772-2372

688 Alliance Pkwy
Ste 207
Hewitt, TX 76643
Phone (254) 772-2372

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1194736934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21265",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767021265",
            "telephone_number": "254-772-2372",
            "fax_number": "254-870-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CHAMA DR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433368",
            "telephone_number": "254-772-2372",
            "fax_number": "254-870-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "RAHIMI",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-772-2372",
        "authorized_official_credential": "BSRT, RTR"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "TX",
            "license": "R25872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088051002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088051003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE NUMBER",
            "identifier": "188150001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA NUMBER",
            "identifier": "470001233",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPT HEALTH NUMBER",
            "identifier": "R25872",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewitt, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.