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MEMORIAL HERMANN HEALTH SYSTEM NPI 1588838593


NPI Information

NPI: 1588838593
Provider Name: MEMORIAL HERMANN HEALTH SYSTEM

Doing Business As: MEMORIAL HERMANN IMAGING CENTERS-WILLOWBROOK CENTER

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization

CLIA Number: 45D1021767

Address:
7520 FM 1960 RD W
HOUSTON, TX
ZIP 77070
Phone: (281) 955-3630
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MEMORIAL HERMANN HEALTH SYSTEM 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. MEMORIAL HERMANN HEALTH SYSTEM NPI is 1588838593. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorial Hermann Imaging Centers-willowbrook Center.

The provider's business location address is:

7520 FM 1960 RD W
HOUSTON, TX
ZIP 77070-840
Phone: (281) 955-3630
Fax: (713) 338-4158

The provider's authorized official is Dennis Laraway .
The authorized official title is Cfo and has the following contact phone number (713) 242-2707.

The CLIA number assigned to this NPI record is 45D1021767 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2008 and was last updated on 6/27/2014.


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 LaboratoryYes

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
1FTA141MEDICARE PIN

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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