National Provider Identifier Database

ABOUDIB ADVANCED IMAGING INC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

ABOUDIB ADVANCED IMAGING INC
3120 W SOUTHLAKE BLVD
SUITE 140
SOUTHLAKE, TX76092
Phone: 817-741-0808
Fax: 817-741-0841
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for ABOUDIB ADVANCED IMAGING INC

NPI Number 1528148715
Legal business name
LBN
ABOUDIB ADVANCED IMAGING INC
Authorized official TONY ABOUDIB - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/16/2006
Last updated 12/03/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: R26088
  • TX Medicaid: 088049401
  • Other: 0090DC BLUE CROSS
  • Other: P00012585 RAILROAD MEDICARE
  • TX Other: 376899000 DEPARTMENT OF LABOR

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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