EAST TEXAS OPEN MRI & DIAGNOSTICS L.P. NPI 1174584338

NPI Information

  • NPI: 1174584338
  • Provider Name: EAST TEXAS OPEN MRI & DIAGNOSTICS L.P.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 232 NORTH JOHN REDDITT DRIVE
    LUFKIN, TX
    ZIP 75904
  • Phone: (936) 699-2798

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NPI Details

EAST TEXAS OPEN MRI & DIAGNOSTICS L.P. is a diagnostic radiology radiology in Lufkin, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. EAST TEXAS OPEN MRI & DIAGNOSTICS L.P. NPI is 1174584338. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

232 NORTH JOHN REDDITT DRIVE
LUFKIN, TX
ZIP 75904
Phone: (936) 699-2798
Fax: (936) 699-2885

The provider's authorized official is Mistie R Lacount .
The authorized official title is Admin and has the following contact phone number (936) 699-2798.

The enumeration date for this NPI number is 3/29/2006 and was last updated on 9/18/2012.

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
12085R0202XRadiologyDiagnostic RadiologyNo
22085R0202XRadiologyDiagnostic RadiologyR27244TEXASYes

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
1152600601MEDICAIDTEXAS
2FTX304OTHERTEXASMEDICARE PTAN
3P00065860MEDICARE PINTEXAS

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: 3/30/2025

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