WOODLAKE IMAGING L.L.C


Address: 6671 Southwest Fwy # 105, Houston, TX 77074-2212
Phone: 7139881900

WOODLAKE IMAGING L.L.C (NPI# 1720124167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720124167
Entity Type Organization
Organization Name WOODLAKE IMAGING L.L.C
Practice Address 6671 Southwest Fwy # 105
Houston
TX 77074-2212
Practice Telephone 7139881900
Practice Fax Number 7139881925
Mailing Telephone 7139881900
Mailing Fax Number 7139881925
Enumeration Date 2007-01-30
Last Update Date 2020-08-22
Authorized Official Name MISS VERONICA WILLIAMS (OFFICE MANAGER)
Authorized Official Telephone 8322426200
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
Ambulatory Health Care Facilities
X 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS 0333DC 01

Office Location

Street Address 6671 SOUTHWEST FWY # 105
City HOUSTON
State TX
Zip Code 77074-2212

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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

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1003814286 Woodlake Imaging Clinic/Center 9600 Westheimer Rd, Suite 12a, Houston, TX 77063-3205 2005-07-12
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Competitor

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City HOUSTON
Zip Code 77074

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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