Memorial Hermann Health System

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MEMORIAL HERMANN HEALTH SYSTEM

Practice address

1150 N Loop 336 W
Conroe, TX 77301-1156

Phone

(936) 442-2633

Fax

(713) 338-4158

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Laraway

Title

Cfo

Phone

(713) 242-2707

Specialties & licenses 2

Addresses

Other names 1

• Memorial Hermann Imaging Centers-Conroe Center Doing business as

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1962676965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031208",
            "telephone_number": "713-338-4127",
            "fax_number": "713-338-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011156",
            "telephone_number": "936-442-2633",
            "fax_number": "713-338-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-242-2707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hermann Imaging Centers-Conroe Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorena Sarai Mejorado
• Chelsea Melear
• Amy K Mellonig, AUDIOLOGIST
• Jessette S Melon
• Memorial Hermann Health System
• Jeffrey P. Mendillo, LCSW
• Mending Peace and Purpose Mental Health Services PLLC
• Mending Peace and Purpose Mental Health Services PLLC
• Mendocino Dialysis LLC
• Christopher Mendoza, MD

• Physiological Laboratory in Conroe, TX
• Providers in Conroe, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.