Woodlands Ionm LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

WOODLANDS IONM LLC

Practice address

3786 FM 1488 Rd Ste 170
The Woodlands, TX 77384-4988

Phone

(281) 721-9667

Fax

(281) 781-2540

NPI assigned

Nov 29, 2022

Last updated

May 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Agith Muthalaly

Title

Owner

Phone

(616) 843-7007

Specialties & licenses 3

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: admin@woodlandsionm.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ninon Mukalel, M.D.

  • Neurology Physician
  • Houston, TX
  • NPI 1942402979
  NPD

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1154031375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10857 KUYKENDAHL RD STE 120",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3786 FM 1488 RD STE 170",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844988",
            "telephone_number": "281-721-9667",
            "fax_number": "281-781-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS IONM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "MUTHALALY",
        "authorized_official_first_name": "AGITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-843-7007"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "woodlandsionm@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "10857 Kuykendahl Rd Ste 120",
            "city": "The Woodlands",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773822937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@woodlandsionm.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3786 Fm 1488 Rd Ste 170",
            "city": "The Woodlands",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773844988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Woodlands I-45 Medical Center PLLC
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• Woodlands Integrated Healthcare Specialists, PLLC
• Woodlands Internists ,P.a
• Woodlands Laser Center LLP (Berkeley Laser Center The Woodlands)
• Woodlands Natural Care Inc
• Woodlands Neuro Solutions LLC
• Woodlands Neurology and Sleep PA (The Woodlands Neurology and Sleep)
• Woodlands Nutrition LLC

• Physiological Laboratory in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.