Provider Demographics
NPI:1447491683
Name:SUPERIOR DIAGNOSTIC, INC.
Entity type:Organization
Organization Name:SUPERIOR DIAGNOSTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:K. CODY
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-968-2300
Mailing Address - Street 1:2727 ALLEN PARKWAY
Mailing Address - Street 2:SUITE 1915
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-2177
Mailing Address - Country:US
Mailing Address - Phone:713-623-6762
Mailing Address - Fax:713-623-6761
Practice Address - Street 1:10019 MAIN ST
Practice Address - Street 2:SUITE A9-B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-5256
Practice Address - Country:US
Practice Address - Phone:713-623-6762
Practice Address - Fax:713-623-6761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic