Active NPI
Woodlake Imaging, L.L.C.
- Radiology Clinic/Center
- Houston, TX
National Provider Identifier
1710988373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0333DC | Other | TX | BCBS |
| 160671701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurology Physician
- Houston, TX
- NPI 1447447545
-
- Diagnostic Radiology Physician
- Baytown, TX
- NPI 1497744999
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.