Landstar Medical Supplies, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

LANDSTAR MEDICAL SUPPLIES, LLC

Practice address

6201 Bonhomme Rd Ste 185N
Houston, TX 77036-4365

Phone

(713) 459-4824

NPI assigned

Dec 8, 2023

Reactivated

Aug 9, 2025

Last updated

Mar 27, 2026By 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

Mr. Waseem Mohammed

Title

Owner Manager

Phone

(713) 459-4824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1174390231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 BONHOMME RD STE 185N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364365",
            "telephone_number": "713-459-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 BONHOMME RD STE 185N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364365",
            "telephone_number": "713-459-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDSTAR MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "deactivation_date": "2025-06-20",
        "reactivation_date": "2025-08-09",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "WASEEM",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "713-459-4824",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Landry, PA-C
• Susan Landry, PH.D.
• Tiffany Landry
• Victoria Anne Landry, ANP
• Sarah Lands
• Sarah Landuyt
• Rosa Lavonne Lane-Smith, LMSW
• Amber Lane, LCSW
• Audrey A Lane, LPC
• Deanna L. Lane, M.D.

• Radiology Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.