Organization Active NPI

Oakridge Imaging LLC

Doing business as GO Imaging Central

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1063817203
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
OAKRIDGE IMAGING LLC
Doing business as
GO Imaging Central
Practice address
3301 S Shepherd Dr
Houston, TX 77098-3320
Phone
(713) 874-0111
Fax
(713) 874-0555
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Gracie De Leon
Title
Administrator
Phone
(713) 705-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

3301 S Shepherd Dr
Houston, TX 77098-3320

Mailing address

3301 S Shepherd Dr
Houston, TX 77098-3320
Phone (713) 874-0111

Other names 1

  • GO Imaging Central Doing business as

National Provider Directory

National Provider Directory

Locations

3301 S Shepherd Dr
Houston, TX 77098
Phone (214) 361-8018

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1063817203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 S SHEPHERD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983320",
            "telephone_number": "713-874-0111",
            "fax_number": "713-874-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 S SHEPHERD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983320",
            "telephone_number": "713-874-0111",
            "fax_number": "713-874-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKRIDGE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "GRACIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-705-0060",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GO Imaging Central",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.