Organization Active NPI

Goodwill Diagnostic Services LLC

  • Diagnostic Ultrasound Physician
  • Houston, TX
National Provider Identifier
1154956019
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
GOODWILL DIAGNOSTIC SERVICES LLC
Practice address
19618 Heritage Elm CT
Houston, TX 77084-4390
Phone
(877) 469-9990
Fax
(281) 596-6908
NPI assigned
Mar 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Mrs. Emeline Eno Akuta, B.SC
Title
Manager
Phone
(347) 200-6741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

19618 Heritage Elm CT
Houston, TX 77084-4390

Mailing address

19618 Heritage Elm CT
Houston, TX 77084-4390
Phone (877) 469-9990

Other names 1

  • GOODWILL DIAGNOSTIC SERVICES LLC Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
RESTful URL google Health Information Exchange (HIE)
RESTful URL Houston Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1154956019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19618 HERITAGE ELM CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770844390",
            "telephone_number": "877-469-9990",
            "fax_number": "281-596-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19618 HERITAGE ELM CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770844390",
            "telephone_number": "877-469-9990",
            "fax_number": "281-596-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "AKUTA",
        "authorized_official_first_name": "EMELINE",
        "authorized_official_middle_name": "ENO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-200-6741",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.SC"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "google",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19618 Heritage Elm Ct",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770844390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Houston",
            "address_1": "19618 Heritage Elm Ct",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770844390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GOODWILL DIAGNOSTIC SERVICES LLC",
            "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 Jan 8, 2021; 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.