Active NPI
Quest Imaging, Inc
- Physiological Laboratory
- Hewitt, TX
National Provider Identifier
1194736934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- License
- R25872
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088051002 | Medicaid | TX | |
| 088051003 | Medicaid | TX | |
| 188150001 | Other | TX | PACIFICARE NUMBER |
| 470001233 | Other | TX | PALMETTO GBA NUMBER |
| R25872 | Other | TX | TEXAS DEPT HEALTH NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.