Space City Radiology PLLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

SPACE CITY RADIOLOGY PLLC

Practice address

5402 Renwick Dr Apt 1008
Houston, TX 77081-1531

Phone

(860) 381-9902

NPI assigned

May 7, 2024

Organization subpart

No

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

Authorized official

Name

Lamesa C AmenuNPI 1184479966

Title

Owner

Phone

(860) 381-9902

Specialties & licenses 1

Addresses

Other names 1

• personal Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Portable X-ray supplier certification: CCN 45X0009943

Legal name

SPACE CITY RADIOLOGY PLLC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Apr 28, 2025

Last certification

Apr 28, 2025

Ownership / control type

Other Than Private

Facility address

5402 Renwick Dr Apt 1008
Houston, TX 77081

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lamesa C Amenu

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1184479966
  NPD Authorized official

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1871341685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 RENWICK DR APT 1008",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811531",
            "telephone_number": "860-381-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 RENWICK DR APT 1008",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811531",
            "telephone_number": "860-381-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACE CITY RADIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2025-09-02",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "AMENU",
        "authorized_official_first_name": "LAMESA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-381-9902"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "personal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Space Center Sa Services, Inc
• Space City Audiology PLLC
• Space City EMS LLC
• Space City Medicab
• Space City Medical
• Space City Senior Care, LLC
• Space City Smiles
• Space Therapy Gym LLC
• Spade Chiropractic LLC
• Spade Chiropractic Physical Medicine and Diagnostic Clinic

• Mobile Radiology Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Mobile Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.