Northeast Imaging Center LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

NORTHEAST IMAGING CENTER LLC

Practice address

22751 Professional Dr
Kingwood, TX 77339-6021

Phone

(832) 882-6742

Fax

(281) 664-5899

NPI assigned

Mar 14, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Rahul Dhawan

Title

Ceo

Phone

(832) 882-6742

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1497403976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22751 PROFESSIONAL DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396021",
            "telephone_number": "832-882-6742",
            "fax_number": "281-664-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22751 PROFESSIONAL DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396021",
            "telephone_number": "832-882-6742",
            "fax_number": "281-664-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "DHAWAN",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-882-6742",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Kingwood, TX
• Providers in Kingwood, 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 14, 2022; 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.