NPIMap

Organization Active NPI

Principle Imaging, LLC

  • Physiological Laboratory
  • Houston, TX
National Provider Identifier
1841032810
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
PRINCIPLE IMAGING, LLC
Practice address
16840 Buccaneer LN Ste 261
Houston, TX 77058-2570
Phone
(832) 932-5968
NPI assigned
Jun 11, 2024
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PRINCIPLE HS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Blake T Werner
Title
Director of Business Operations
Phone
(832) 549-8355

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Physiological Laboratory 293D00000X NU Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X NU

Addresses

Primary practice location

16840 Buccaneer LN Ste 261
Houston, TX 77058-2570

Mailing address

16840 Buccaneer LN Ste 261
Houston, TX 77058-2570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240924000138 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6406397017 Practice locations: Houston, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Principle Imaging LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1841032810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16840 BUCCANEER LN STE 261",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16840 BUCCANEER LN STE 261",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582570",
            "telephone_number": "832-932-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPLE IMAGING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRINCIPLE HS, LLC",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "832-549-8355"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jun 11, 2024; 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.