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CY-FAIR OPEN MRI NPI 1558366997


NPI Information

NPI: 1558366997
Provider Name: CY-FAIR OPEN MRI

Doing Business As: FALLBROOK OPEN MRI

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization

CLIA Number: 45D2163849

Address:
11770 FM 1960 WEST
HOUSTON, TX
ZIP 77065
Phone: (281) 894-4000
Get Directions

CY-FAIR OPEN MRI is a physiological laboratory in Houston, TX. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. CY-FAIR OPEN MRI NPI is 1558366997. The provider is registered as an organization entity type.
The provider Is Doing Business As Fallbrook Open Mri.

The provider's business location address is:

11770 FM 1960 WEST
HOUSTON, TX
ZIP 77065
Phone: (281) 894-4000
Fax: (281) 894-6056

The provider's authorized official is Ohilda Maria Sterling .
The authorized official title is Coo and has the following contact phone number (281) 681-8040.

The CLIA number assigned to this NPI record is 45D2163849 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2005 and was last updated on 1/7/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0200XClinic/CenterRadiologyNo
2293D00000XPhysiological LaboratoryTEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10004DCOTHERTEXASBC BS
22024680OTHERTEXASAETNA
34325571OTHERTEXASCIGNA
41095655-01MEDICAIDTEXAS
5353038100OTHERTEXASUS DEPT OF LABOR
6470001804MEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE RAILROAD
7FTA028MEDICARE PINTEXAS
8109565501MEDICAIDTEXAS

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: 11/14/2023

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