# SHADOW CREEK IMAGING & DIAGNOSTICS LLC

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

## Provider details

- **NPI number:** 1457882326
- **Authorized official:** KALPESH SHAH (CEO)
- **Authorized official phone:** (470) 210-9332

## Contact information

- **Practice address:** 11711 SHADOW CREEK PKWY, SUITE 147, PEARLAND, TX 77584-7232
- **Practice address phone:** (713) 859-9985
- **Mailing address:** 11711 SHADOW CREEK PKWY, SUITE 147, PEARLAND, TX 77584-7232
- **Mailing address phone:** (713) 859-9985

## Taxonomy

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

## Other

- **Enumeration date:** 03/22/2017
- **Last updated:** 03/22/2017