Concept Phoenix

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

CONCEPT PHOENIX

Doing business as

Radiant Imaging & Diagnostics

Practice address

1336 Pin Oak Rd
Katy, TX 77494-6849

Phone

(281) 394-1300

Fax

(281) 394-1301

NPI assigned

Aug 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Philip Jefferson Weaver, M.D.

Title

Chief Medical Officer

Phone

(281) 394-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Radiant Imaging & Diagnostics Doing business as

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255440046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 PIN OAK RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946849",
            "telephone_number": "281-394-1300",
            "fax_number": "281-394-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 PIN OAK RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946849",
            "telephone_number": "281-394-1300",
            "fax_number": "281-394-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT PHOENIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JEFFERSON",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "281-394-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAM LICENSE",
            "identifier": "LO5864",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Imaging & Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Complete Comfort Personal Care SVC
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• Complete OBGYN Care PA (Mohammed Kabir DO)
• Comprehensive Eyecare PA
• Comprehensive Wellness Intentions
• Concierge Medicine PLLC
• Concierge Physician Associates PA (CARITAS MEDICAL EQUIPMENT and SUPPLIES, LLC)
• Stacey Conely
• Brandise Conerly
• Jermany Coney

• Radiology Clinic/Center in Katy, TX
• Providers in Katy, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.