SPACE CITY RADIOLOGY PLLC NPI 1871341685

NPI Information

  • NPI: 1871341685
  • Provider Name: SPACE CITY RADIOLOGY PLLC
  • Classification: Clinic/Center - 261QR0208X
  • Specialization: Radiology, Mobile
  • Entity Type: Organization
  • Doing Business As: PERSONAL
  • Address: 5402 RENWICK DR APT 1008
    HOUSTON, TX
    ZIP 77081
  • Phone: (860) 381-9902

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NPI Details

SPACE CITY RADIOLOGY PLLC is a radiology and mobile clinic center in Houston, TX. SPACE CITY RADIOLOGY PLLC NPI is 1871341685. The provider is registered as an organization entity type.
The provider Is Doing Business As Personal.

The provider's business location address is:

5402 RENWICK DR APT 1008
HOUSTON, TX
ZIP 77081-531
Phone: (860) 381-9902

The provider's authorized official is Lamesa C Amenu .
The authorized official title is Owner and has the following contact phone number (860) 381-9902.

The enumeration date for this NPI number is 5/7/2024 and was last updated on 9/23/2024.

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
1261QR0208XClinic/CenterRadiology, MobileYes

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

NPI Synchronization or Removal

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