Organization Active NPI

Lakeside Diagnostic Solutions LLC

  • Diagnostic Radiology Physician
  • Webster, TX
National Provider Identifier
1639536550
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LAKESIDE DIAGNOSTIC SOLUTIONS LLC
Practice address
17304 Highway 3
Webster, TX 77598-4133
Phone
(832) 289-5817
NPI assigned
Jan 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Sameer Abdulhussein
Title
Owner
Phone
(832) 289-5817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

17304 Highway 3
Webster, TX 77598-4133

Mailing address

17304 Highway 3
Webster, TX 77598-4133
Phone (832) 289-5817

National Provider Directory

National Provider Directory

Locations

17304 Highway 3
Webster, TX 77598
Phone (832) 289-5817

NPI Registry JSON

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1639536550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17304 HIGHWAY 3",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984133",
            "telephone_number": "832-289-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17304 HIGHWAY 3",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984133",
            "telephone_number": "832-289-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE DIAGNOSTIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "ABDULHUSSEIN",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-289-5817"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.