Organization Active NPI

Woodlake Imaging, L.L.C.

  • Radiology Clinic/Center
  • Houston, TX
National Provider Identifier
1710988373
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
WOODLAKE IMAGING, L.L.C.
Practice address
9600 Westheimer Rd
12A
Houston, TX 77063-3205
Phone
(832) 242-6200
Fax
(832) 242-6201
NPI assigned
Aug 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Mr. Mike K Zamir
Title
President
Phone
(832) 242-6200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

9600 Westheimer Rd
12A
Houston, TX 77063-3205

Mailing address

9600 Westheimer Rd
12A
Houston, TX 77063-3205
Phone (832) 242-6200

Other identifiers 2

IdentifierTypeStateIssuer
0333DCOtherTXBCBS
160671701MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070927000367 TX Part B Supplier - Clinic/Group Practice 0042305641 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1065 Gessner Rd
Ste 100
Houston, TX 77055
Phone (713) 206-7361

6671 Southwest Fwy
Ste 105
Houston, TX 77074
Phone (713) 988-1900

9600 Westheimer Rd
#12A
Houston, TX 77063
Phone (832) 242-6200

Practitioners & affiliated clinicians

Practitioners 2

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": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1710988373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 WESTHEIMER RD",
            "address_2": "12A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633205",
            "telephone_number": "832-242-6200",
            "fax_number": "832-242-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 WESTHEIMER RD",
            "address_2": "12A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633205",
            "telephone_number": "832-242-6200",
            "fax_number": "832-242-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAKE IMAGING, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "ZAMIR",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-242-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0333DC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160671701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.