Active NPI
Optimum Diagnostics LLC
- Radiology Clinic/Center
- Spring, TX
National Provider Identifier
1780952911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.