BELLAIRE DIAGNOSTIC IMAGING LLC NPI 1366541922

NPI Information

NPI: 1366541922
Provider Name: BELLAIRE DIAGNOSTIC IMAGING, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 45D1011369

Address:
9440 BELLAIRE BLVD STE 100
HOUSTON, TX
ZIP 77036
Phone: (832) 239-8538
Get Directions

BELLAIRE DIAGNOSTIC IMAGING, LLC is a radiology clinic center in Houston, TX. BELLAIRE DIAGNOSTIC IMAGING, LLC NPI is 1366541922. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9440 BELLAIRE BLVD STE 100
HOUSTON, TX
ZIP 77036-558
Phone: (832) 239-8538
Fax: (713) 772-8032

The provider's authorized official is John Lee .
The authorized official title is President and has the following contact phone number (832) 239-8538.

The CLIA number assigned to this NPI record is 45D1011369 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 12/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			No
2	261QR0200X	Clinic/Center	Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	180264701	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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