Organization Active NPI

Ranek, LC

Doing business as The Imaging Center

  • Radiology Clinic/Center
  • Nacogdoches, TX
National Provider Identifier
1417912544
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
RANEK, LC
Doing business as
The Imaging Center
Practice address
4932 North St
Nacogdoches, TX 75965-1878
Phone
(936) 462-9909
Fax
(936) 462-8528
NPI assigned
Apr 20, 2006
Last updated
May 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Mrs. Kathie Haley
Title
Operations Manager
Phone
(936) 462-9909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X TX Primary

Addresses

Primary practice location

4932 North St
Nacogdoches, TX 75965-1878

Mailing address

PO Box 632067
Nacogdoches, TX 75963-2067
Phone (936) 462-9909

Other identifiers 3

IdentifierTypeStateIssuer
P00249391OtherRAILROAD MEICARE
1718710-01MedicaidTX
0433DCOtherTXBLUECROSS BLUESHIELD

Other names 1

  • The Imaging Center Doing business as

National Provider Directory

National Provider Directory

Locations

4932 North St
Nacogdoches, TX 75965
Phone (936) 462-9909

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1417912544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632067",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759632067",
            "telephone_number": "936-462-9909",
            "fax_number": "936-462-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4932 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651878",
            "telephone_number": "936-462-9909",
            "fax_number": "936-462-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANEK, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "KATHIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "936-462-9909",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEICARE",
            "identifier": "P00249391",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1718710-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0433DC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.