Organization Active NPI

Conroe Premier Imaging Center LP

  • Radiology Clinic/Center
  • Shenandoah, TX
National Provider Identifier
1902108574
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
CONROE PREMIER IMAGING CENTER LP
Practice address
111 Vision Park Blvd
Suite 130
Shenandoah, TX 77384-3002
Phone
(361) 991-1007
Fax
(361) 991-2031
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Tammy Zipprian
Title
Administrator
Phone
(361) 991-1007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

111 Vision Park Blvd
Suite 130
Shenandoah, TX 77384-3002

Mailing address

111 Vision Park Blvd
Suite 130
Shenandoah, TX 77384-3002
Phone (361) 991-1007

Other names 1

  • Conroe Premier Imaging Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1902108574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 VISION PARK BLVD",
            "address_2": "SUITE 130",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843002",
            "telephone_number": "361-991-1007",
            "fax_number": "361-991-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 VISION PARK BLVD",
            "address_2": "SUITE 130",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843002",
            "telephone_number": "361-991-1007",
            "fax_number": "361-991-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONROE PREMIER IMAGING CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "ZIPPRIAN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-991-1007"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conroe Premier Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.