Lakeside MRI & Diagnostic Center

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LAKESIDE MRI & DIAGNOSTIC CENTER

Practice address

17360 Highway 3
Webster, TX 77598-4133

Phone

(281) 338-5575

Fax

(281) 554-8407

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Sameer Abdulhussein

Title

President

Phone

(833) 633-7331

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Vaibhav International Corporation Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Bryan Lee Kaufman, M.D.

  • Diagnostic Radiology Physician
  • Jacksonville, FL
  • NPI 1881691764
  NPD
• Steven Harris Millmond, MD

  • Diagnostic Radiology Physician
  • Glendale, AZ
  • NPI 1851365944
  NPD

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1245396969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890313",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772890313",
            "telephone_number": "281-338-5575",
            "fax_number": "281-554-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17360 HIGHWAY 3",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984133",
            "telephone_number": "281-338-5575",
            "fax_number": "281-554-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE MRI & DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2022-11-17",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "ABDULHUSSEIN",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "833-633-7331"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880528-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vaibhav International Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Vaibhav International Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Laboratory Corporation of America
• Laboratory Corporation of America
• Teresa Ladner, DDS
• Rachel Elizabeth Laird, M.D.
• Lakeside Diagnostic Solutions LLC
• Lakeside Supplies, Inc.
• Asif Wahid Lakhani, M.D.
• Manisha Rakesh Lakhanpal
• Hio Cheng Lam, MD
• Kenny Chuong Lam, MD

• Diagnostic Radiology Physician in Webster, TX
• Providers in Webster, 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 Nov 17, 2022; 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.