# AXENT DIAGNOSTICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265378657
- **Authorized official:** HANY ABOUZEID (PRESIDENT)
- **Authorized official phone:** (682) 243-3242

## Contact information

- **Practice address:** 751 E SOUTHLAKE BLVD STE 122, SOUTHLAKE, TX 76092-6352
- **Practice address phone:** (682) 243-3242
- **Practice address fax:** (817) 631-0288
- **Mailing address:** 2150 S ILIOS PL, TUCSON, AZ 85713-4193
- **Mailing address phone:** (682) 243-3242
- **Mailing address fax:** (817) 631-0288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |
| 261QR0208X | Mobile Radiology Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 04/27/2026
- **Last updated:** 04/27/2026