NPIMap

Organization Active NPI

E Plus Pet Imaging Xxiii LP

Doing business as PET Imaging of San Antonio at Northeast Baptist

  • Radiology Clinic/Center
  • San Antonio, TX
National Provider Identifier
1487706065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
E PLUS PET IMAGING XXIII LP
Doing business as
PET Imaging of San Antonio at Northeast Baptist
Practice address
8611 Villiage Drive
Suite 150
San Antonio, TX 78217
Phone
(210) 646-0800
Fax
(210) 646-0808
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jerry M. Eyler
Title
Secretary of General Partner
Phone
(615) 467-7408

Specialties & licenses 1

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

Addresses

Primary practice location

8611 Villiage Drive
Suite 150
San Antonio, TX 78217

Mailing address

8611 Villiage Drive
Suite 150
San Antonio, TX 78217
Phone (210) 646-0800

Other names 1

  • PET Imaging of San Antonio at Northeast Baptist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
E Plus Pet Imaging Xxiii LP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487706065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 VILLIAGE DRIVE",
            "address_2": "SUITE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "210-646-0800",
            "fax_number": "210-646-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 VILLIAGE DRIVE",
            "address_2": "SUITE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "210-646-0800",
            "fax_number": "210-646-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E PLUS PET IMAGING XXIII LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EYLER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SECRETARY OF GENERAL PARTNER",
        "authorized_official_telephone_number": "615-467-7408"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PET Imaging of San Antonio at Northeast Baptist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • 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.