Organization Active NPI

Raytel Nuclear Imaging - West Houston, Inc.

  • Medical Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1881649622
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
L04882 Issued in TX
Legal business name
RAYTEL NUCLEAR IMAGING - WEST HOUSTON, INC.
Practice address
1416 Campbell Rd
Suite 101
Houston, TX 77055-4604
Phone
(713) 464-7914
Fax
(713) 464-8270
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Mr. Jeffrey M Flanegin
Title
President
Phone
(610) 831-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X L04882 TX Primary

Addresses

Primary practice location

1416 Campbell Rd
Suite 101
Houston, TX 77055-4604

Mailing address

7 Waterside Xing
3Rd Floor Attn: Karen Frisk, Contracting
Windsor, CT 06095-1540
Phone (800) 367-1095

National Provider Directory

National Provider Directory
Tax ID family
Raytel Nuclear Imaging - West Houston Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1881649622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WATERSIDE XING",
            "address_2": "3RD FLOOR ATTN: KAREN FRISK, CONTRACTING",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951540",
            "telephone_number": "800-367-1095",
            "fax_number": "860-298-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 CAMPBELL RD",
            "address_2": "SUITE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554604",
            "telephone_number": "713-464-7914",
            "fax_number": "713-464-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYTEL NUCLEAR IMAGING - WEST HOUSTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "FLANEGIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-831-1112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "L04882",
            "primary": true
        }
    ],
    "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 Aug 31, 2007; 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.