Organization Active NPI

Oakridge Diagnostic LLC

  • Urgent Care Clinic/Center
  • Spring, TX
National Provider Identifier
1497988182
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
J4767 Issued in TX
Legal business name
OAKRIDGE DIAGNOSTIC LLC
Practice address
26222 I H 45
Suite a
Spring, TX 77386-1024
Phone
(281) 292-1310
Fax
(281) 292-1825
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Dr. Rafael Delaflor Weiss, M.D.NPI 1801822051
Title
Physician/Owner
Phone
(281) 592-1115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X J4767 TX Primary

Addresses

Primary practice location

26222 I H 45
Suite a
Spring, TX 77386-1024

Mailing address

705 E Houston St
Cleveland, TX 77327-4630
Phone (281) 592-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140624000653 TX Part B Supplier - Clinic/Group Practice 8022232552 Receives reassigned benefits from 1 practitioner
Practice locations: Cleveland, TX; Spring, TX

National Provider Directory

National Provider Directory

Locations

701 E Houston St
Cleveland, TX 77327
Phone (281) 592-1115

26222 Interstate 45 N
Spring, TX 77386
Phone (281) 292-1310

26222 I H 45
#A
Spring, TX 77386
Phone (281) 292-1310

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": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1497988182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E HOUSTON ST",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274630",
            "telephone_number": "281-592-1115",
            "fax_number": "281-592-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26222 I H 45",
            "address_2": "SUITE A",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861024",
            "telephone_number": "281-292-1310",
            "fax_number": "281-292-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKRIDGE DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "DELAFLOR WEISS",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "281-592-1115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "J4767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.