Organization Active NPI

Pacific Diagnostics, PA

  • Mobile Radiology Clinic/Center
  • Houston, TX
National Provider Identifier
1386872703
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
PACIFIC DIAGNOSTICS, PA
Practice address
14450 TC Jester
Suite #250
Houston, TX 77014-1332
Phone
(713) 774-7291
Fax
(713) 774-5478
NPI assigned
Jun 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Dr. Saqib A Siddiqui, M.D.
Title
President
Phone
(281) 292-1121

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X L1710 TX
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

14450 TC Jester
Suite #250
Houston, TX 77014-1332

Mailing address

P.O. Box 132618
The Woodlands, TX 77393-2618
Phone (281) 292-1121

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1386872703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 132618",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773932618",
            "telephone_number": "281-292-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14450 TC JESTER",
            "address_2": "SUITE #250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141332",
            "telephone_number": "713-774-7291",
            "fax_number": "713-774-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC DIAGNOSTICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SAQIB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-292-1121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "L1710",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.