Organization Active NPI

Matriarch Consulting Services LLC

Doing business as Matriarch Imaging Center

  • Diagnostic Ultrasound Physician
  • Humble, TX
National Provider Identifier
1700444213
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
MATRIARCH CONSULTING SERVICES LLC
Doing business as
Matriarch Consulting Services LLC
Matriarch Imaging Center
Practice address
21650 Aldine Westfield Rd
Humble, TX 77338-1092
Phone
(832) 916-4299
Fax
(281) 306-1377
NPI assigned
May 30, 2019
Last updated
Jul 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Denise Moss
Title
Ceo
Phone
(832) 916-4299

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

21650 Aldine Westfield Rd
Humble, TX 77338-1092

Mailing address

17119 Red Oak Dr Unit 90333
Houston, TX 77290-2917
Phone (800) 261-1482

Other names 2

  • Matriarch Consulting Services LLC Doing business as
  • Matriarch Imaging Center Doing business as

National Provider Directory

National Provider Directory

Locations

17119 Red Oak Dr
Unit 90333
Houston, TX 77290

17434 Red Oak Dr
Ste C
Houston, TX 77090

1125 Cypress Station Dr
Ste A-4
Houston, TX 77090
Phone (832) 239-7398

17119 Red Oak Dr
Unit 90333
Houston, TX 77090

17030 Nanes Dr
Ste 104
Houston, TX 77090
Phone (281) 836-6171

21650 Aldine Westfield Rd
Humble, TX 77338
Phone (832) 319-0696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1700444213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17119 RED OAK DR UNIT 90333",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772902917",
            "telephone_number": "800-261-1482",
            "fax_number": "281-306-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21650 ALDINE WESTFIELD RD",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773381092",
            "telephone_number": "832-916-4299",
            "fax_number": "281-306-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIARCH CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-916-4299"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matriarch Consulting Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matriarch Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.