League Line Medical Center LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

LEAGUE LINE MEDICAL CENTER LLC

Practice address

4015 I 45 N Ste 270
Conroe, TX 77304-5077

Phone

(630) 413-4307

NPI assigned

May 22, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Anita Singh

Title

Ceo

Phone

(630) 413-4307

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1841727799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JORIE BLVD STE 370",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234512",
            "telephone_number": "630-413-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 I 45 N STE 270",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045077",
            "telephone_number": "630-413-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAGUE LINE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-413-4307",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Le
• Janet Le
• Sarah Lea, LPC
• Dylan Guy Leach
• Leadingedge Behavioural Health and Services PLLC
• Sharon Kay Leasure, LPC
• Kelly M Leblanc, DDS
• Jason M Lebwohl, M.D.
• Dana Marie Ledet-Hurd, PMHNP-BC
• Bang-Ning Lee, PA-C

• Multi-Specialty Clinic/Center in Conroe, TX
• Providers in Conroe, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.