JANICE LAKE TECH NPI 1053419150

NPI Information

NPI: 1053419150
Provider Name: JANICE LAKE, TECH
Classification: Radiologic Technologist - 2471C3402X
Entity Type: Individual

Specialization: Radiography

Address:
4124 GUS THOMASSON ROAD
MESQUITE, TX
ZIP 75150
Phone: (972) 682-0484
Get Directions

Janice Lake, TECH is a radiography radiologic technologist in Mesquite, TX. The provider is a radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care. Janice Lake, TECH NPI is 1053419150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4124 GUS THOMASSON ROAD
MESQUITE, TX
ZIP 75150-226
Phone: (972) 682-0484
Fax: (214) 221-5600

The enumeration date for this NPI number is 9/20/2006 and was last updated on 12/6/2007.

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	2471S1302X	Radiologic Technologist	Sonography		TEXAS	No
2	2471C3402X	Radiologic Technologist	Radiography		TEXAS	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	459840	OTHER	TEXAS	BCBS
2	459840	MEDICARE PIN	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »