Clearlake Imaging LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CLEARLAKE IMAGING LLC

Practice address

202 N Texas Ave Ste 400
Webster, TX 77598-4967

Phone

(832) 667-8132

Fax

(281) 643-0440

NPI assigned

Dec 11, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nidhi Sharma

Title

Office Manager

Phone

(832) 667-8132

Specialties & licenses 2

Addresses

Other names 1

• CLEARLAKE IMAGING LLC Former legal business name

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1922513134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N TEXAS AVE STE 400",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984967",
            "telephone_number": "832-667-8132",
            "fax_number": "281-643-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N TEXAS AVE STE 400",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984967",
            "telephone_number": "832-667-8132",
            "fax_number": "281-643-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 N Texas Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984967",
            "country_code": "US",
            "telephone_number": "832-667-8132",
            "fax_number": "281-643-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEARLAKE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "NIDHI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "832-667-8132",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEARLAKE IMAGING LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clear Lake-Houston Electrophysiology, P.a.
• Clifton Dialysis LLC (South Shore Annex Dialysis)
• Lilliam Esther Clinger
• Clinica Webster Inc
• CLS Health PLLC
• CLS Health PLLC (CLS Health)

• Multi-Specialty Clinic/Center in Webster, TX
• Providers in Webster, 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 Mar 17, 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.