East Texas Open MRI & Diagnostics L.P.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

R27244 Issued in TX

Legal business name

EAST TEXAS OPEN MRI & DIAGNOSTICS L.P.

Practice address

232 North John Redditt Drive
Lufkin, TX 75904

Phone

(936) 699-2798

Fax

(936) 699-2885

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mistie R Lacount

Title

Admin

Phone

(936) 699-2798

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1174584338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 NORTH JOHN REDDITT DRIVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-699-2798",
            "fax_number": "936-699-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 NORTH JOHN REDDITT DRIVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-699-2798",
            "fax_number": "936-699-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS OPEN MRI & DIAGNOSTICS L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "LACOUNT",
        "authorized_official_first_name": "MISTIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "936-699-2798",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R27244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FTX304",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152600601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Texas Hematology & Oncology
• East Texas Hematology & Oncology
• East Texas Id Associates PLLC
• East Texas Internal Medicine PA
• East Texas Neuro Rehab
• East Texas Premier Pediatrics PLLC
• East Texas Therapy Centers, LLC
• East Texas Women'S Clinic
• Michael Eddins, FNP-C
• Julieta Banda Edmond, MA

• Diagnostic Radiology Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.