Active NPI
Icgh - Imaging Centers of Greater Houston LLC
- Radiology Clinic/Center
- Conroe, TX
National Provider Identifier
1053804609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- ICGH - IMAGING CENTERS OF GREATER HOUSTON LLC
- Practice address
- 200 River Pointe Dr Ste 130
Conroe, TX 77304-2828 - Phone
- (936) 756-2299
- NPI assigned
- Jun 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raheel Khan
- Title
- Owner
- Phone
- (877) 345-4244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
200 River Pointe Dr Ste 130
Conroe, TX 77304-2828
Mailing address
6300 Richmond Ave Ste 104
Houston, TX 77057-5931
Phone (877) 345-4244
Other names 1
- Conroe Open MRI
National Provider Directory
National Provider DirectoryLocations
200 River Pointe Dr
Ste 130
Conroe, TX 77304
Phone (936) 441-6998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528416000000",
"number": "1053804609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 RICHMOND AVE STE 104",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770575931",
"telephone_number": "877-345-4244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 RIVER POINTE DR STE 130",
"city": "CONROE",
"state": "TX",
"postal_code": "773042828",
"telephone_number": "936-756-2299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICGH - IMAGING CENTERS OF GREATER HOUSTON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-08",
"last_updated": "2018-06-08",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "RAHEEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "877-345-4244"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Conroe Open MRI",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.