NPIMap

Organization Active NPI

PMG Ultrasound

  • Mobile Radiology Clinic/Center
  • Houston, TX
National Provider Identifier
1356154199
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
PMG ULTRASOUND
Practice address
1410 Chantilly LN
Houston, TX 77018-4131
Phone
(832) 978-5611
NPI assigned
Jan 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Gabriel Ianculovici, COO
Title
Coo
Phone
(832) 978-5611

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

1410 Chantilly LN
Houston, TX 77018-4131

Mailing address

1410 Chantilly LN
Houston, TX 77018-4131
Phone (832) 978-5611

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": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1356154199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 CHANTILLY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770184131",
            "telephone_number": "832-978-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 CHANTILLY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770184131",
            "telephone_number": "832-978-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMG ULTRASOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "IANCULOVICI",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "832-978-5611",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 28, 2025; 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.