Organization Active NPI

Elite Diagnostics, Inc

  • Diagnostic Radiology Physician
  • Tomball, TX
National Provider Identifier
1962787374
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ELITE DIAGNOSTICS, INC
Practice address
444 Holderrieth Blvd
Suite 1
Tomball, TX 77375-4591
Phone
(281) 255-6850
Fax
(816) 643-5652
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Sean Zahniser
Title
Ceo
Phone
(480) 695-8704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

444 Holderrieth Blvd
Suite 1
Tomball, TX 77375-4591

Mailing address

444 Holderrieth Blvd
Suite 1
Tomball, TX 77375-4591
Phone (281) 255-6850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171128002708 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6305003674 Practice locations: Tomball, TX

National Provider Directory

National Provider Directory

Locations

444 Holderrieth Blvd
Ste 1
Tomball, TX 77375
Phone (281) 255-6850

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962787374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 HOLDERRIETH BLVD",
            "address_2": "SUITE 1",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754591",
            "telephone_number": "281-255-6850",
            "fax_number": "281-664-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 HOLDERRIETH BLVD",
            "address_2": "SUITE 1",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754591",
            "telephone_number": "281-255-6850",
            "fax_number": "816-643-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZAHNISER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-695-8704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.