ALLIANCE MRI LAKE HOUSTON, LLC (NPI# 1770953408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770953408 |
| Entity Type | Organization |
| Organization Name | ALLIANCE MRI LAKE HOUSTON, LLC |
| Practice Address |
5514 Atascocita Road Suite 180 Humble TX 77346 |
| Practice Telephone | 7134683842 |
| Mailing Telephone | 8326440148 |
| Mailing Fax Number | 8329247962 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2016-11-09 |
| Authorized Official Name | ETHAN SANDERS (OWNER) |
| Authorized Official Telephone | 2817732018 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
TX | Ambulatory Health Care Facilities |
| Street Address |
5514 ATASCOCITA ROAD SUITE 180 |
| City | HUMBLE |
| State | TX |
| Zip Code | 77346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336024 | Chandler Dejean | Dentist | 7315 Farm To Market 1960 Rd E, Humble, TX 77346 | 2020-08-13 |
| 1184275281 | Lakeshia Williams | Technician | 7419 Auburn Oak Trail, Humble, TX 77346 | 2019-09-20 |
| 1720557275 | Soh of Texas Samson Liu Pllc | Dentist | Fm 1960 #204, Humble, TX 77346 | 2018-11-14 |
| 1548774979 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 17900 West Lake Houston Highway, Houston, TX 77346 | 2017-11-21 |
| 1194267187 | Family Ties Living Center | Clinic/Center | 18707 Timbers Trace Drive, Humble, TX 77346 | 2016-11-08 |
| 1992254809 | Adam Thomas Huval | Registered Nurse | 20440 Us-59 #500, Humble, TX 77346 | 2016-10-03 |
| 1740670975 | Ayesha Mohiuddin | Pediatrics | 17903 W Lake Houston Pkwy Ste 202, Atascocita, TX 77346 | 2015-01-26 |
| 1124422415 | Christopher Roath | Behavioral Analyst | 5364 Farm To Market 1960 Rd E, Humble, TX 77346 | 2014-10-15 |
| 1982004099 | Kimberly Fulghum | Registered Nurse | 19406 Texas Laurel Trl, Humble, TX 77346 | 2014-08-26 |
| 1629494828 | Desanka Gajic | Family Medicine | 8067 Fm 1960 East, Humble, TX 77346 | 2014-03-12 |
| Find all providers in zip 77346 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841561883 | Preferred Emergency Room Radiology | Clinic/Center | 8901 Fm 1960 Bypass Rd W Ste 105b, Humble, TX 77338-4019 | 2012-01-23 |
| 1720241995 | Houston Imaging Associates Pa | Clinic/Center | 9802 Fm 1960 Bypass West, Suite 245, Humble, TX 77338-3571 | 2008-07-08 |
| 1578738472 | Memorial Hermann Health System | Clinic/Center | 9767 Fm 1960 Bypass Rd W, Humble, TX 77338-4067 | 2008-04-23 |
| 1790705192 | Universal Mri and Diagnostics Inc | Clinic/Center | 19007 Highway 59 Ste 100, Humble, TX 77338-4267 | 2006-07-20 |
| 1942716220 | Family Practice Doctors Imaging Center | Clinic/Center | 1207 North Houston Ave, Suite C, Humble, TX 77338-8018 | 2017-12-21 |
| 1841563129 | Preferred Emergency Room Physicians | Clinic/Center | 8901 Fm 1960 Bypass Rd W Ste 105b, Humble, TX 77338-4019 | 2012-02-16 |
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|---|---|---|---|---|
| 1013515428 | Medical Referral Services, LLC | Clinic/Center | 2450 Nasa Pkwy Ste 125, Houston, TX 77058-3784 | 2020-10-16 |
| 1275144750 | Midland Imaging Center, LLC | Clinic/Center | 2106 N. Midland Dr., Ste 101, Midland, TX 79707-5503 | 2020-08-10 |
| 1134738453 | Origin Mri and Diagnostics | Clinic/Center | 9135 Katy Fwy Ste 102, Houston, TX 77024-1636 | 2020-07-23 |
| 1538777123 | Lexington Medical Imaging, LLC | Clinic/Center | 15925 Lexington Blvd, Sugar Land, TX 77479-2314 | 2020-07-20 |
| 1871101899 | Blue Star Imaging Sa, LLC | Clinic/Center | 112 Herff Rd, Boerne, TX 78006-2747 | 2020-07-15 |
| 1396362836 | Parkhill Imaging Clearfork LLC | Clinic/Center | 5656 Edwards Ranch Rd Ste 100, Fort Worth, TX 76109-4136 | 2020-07-01 |
| 1891319083 | Parkhill Imaging Addison LLC | Clinic/Center | 17051 Dallas Pkwy Ste 200, Addison, TX 75001-7119 | 2020-06-03 |
| 1669093779 | Hi Tech Imaging, LLC | Clinic/Center | 423 Sw Military Dr, San Antonio, TX 78221-1654 | 2020-04-29 |
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1740814029 | Venus Mri & Women's Center, LLC | Clinic/Center | 24721 Tomball Pkwy Ste 150, Tomball, TX 77375-7727 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
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| 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.