Organization Active NPI

Optimum Diagnostics LLC

  • Radiology Clinic/Center
  • Spring, TX
National Provider Identifier
1780952911
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
OPTIMUM DIAGNOSTICS LLC
Practice address
9337 Spring Cypress Rd Ste E4
Spring, TX 77379-3484
Phone
(281) 773-4857
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Aaron Matlack, MHA
Title
Manager
Phone
(281) 773-4857

Specialties & licenses 1

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

Addresses

Primary practice location

9337 Spring Cypress Rd Ste E4
Spring, TX 77379-3484

Mailing address

PO Box 112
Barker, TX 77413-0112
Phone (281) 773-4857

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1780952911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "BARKER",
            "state": "TX",
            "postal_code": "774130112",
            "telephone_number": "281-773-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9337 SPRING CYPRESS RD STE E4",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793484",
            "telephone_number": "281-773-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "MATLACK",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-773-4857",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.