Panhandle Pet Imaging, LTD

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

PANHANDLE PET IMAGING, LTD

Doing business as

Panhandle PET Imaging

Practice address

6700 W 9TH Ave
Amarillo, TX 79106-1729

Phone

(806) 457-9700

Fax

(806) 457-9701

NPI assigned

Dec 28, 2005

Organization subpart

No

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

Authorized official

Name

Gary Wright

Title

President and Ceo

Phone

(813) 675-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Panhandle PET Imaging Doing business as

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659358984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292921",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336872921",
            "telephone_number": "813-675-2498",
            "fax_number": "813-971-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 W 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061729",
            "telephone_number": "806-457-9700",
            "fax_number": "806-457-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE PET IMAGING, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "813-675-2600"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558090",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panhandle PET Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Panhandle Plains Medical Group, LLC
• Panhandle Prosthetics & Orthotics LLC
• Panhandle Rehab Specialists LLC
• Panhandle Respiratory RX, LTD

• Mobile Radiology Clinic/Center in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Mobile 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.