Lake Jackson Imaging Center in Lake Jackson - Radiology

Lake Jackson Imaging Center - NPI 1417968637

Lake Jackson Imaging Center is a Radiology in Lake Jackson, Texas. Lake Jackson Imaging Center practices all healthcare services and medical treatments related to Radiology. The NPI Number for Lake Jackson Imaging Center is 1417968637. The last update date is 2008-10-16.

Lake Jackson Imaging Center's current location address is 217 Oak Dr S, Lake Jackson, Texas. You can contact this provider via phone number 9792972800. The mailing address for Lake Jackson Imaging Center is 217 Oak Dr S, Lake Jackson, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lake Jackson Imaging Center
Address 217 Oak Dr S, Lake Jackson, Texas
Phone Number 9792972800
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Buck E John
Credentials M.D.
Telephone Number 9362035996

NPI Number Detail

NPI Number 1417968637
Provider Enumeration Date 2006-08-11
Last Updated Date 2008-10-16

Provider Mailing Address Detail

Address 217 Oak Dr S
City Lake Jackson
State Texas (TX)
Post Code 775665675
Phone Number 9792972800
Fax Number

Provider's Primary Taxonomy Detail

Speciality Radiology
Taxonomy 261Qr0200X
Definition:
Takes images of the body using radiologic techniques to diagnose disease.

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FAQs about Lake Jackson Imaging Center

What is the unique 10-digit identifier code issued to Lake Jackson Imaging Center by the Centers for Medicare & Medicaid Services?

The Lake Jackson Imaging Center has been assigned the NPI (National Provider Identifier) 1417968637 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Lake Jackson Imaging Center's facilities are situated?

The facilities of Lake Jackson Imaging Center are physically located at the following address: 217 Oak Dr S, Lake Jackson, TX, 775665675.

What is Lake Jackson Imaging Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lake Jackson Imaging Center is Radiology, and the taxonomy code that classifies this field of practice is 261Qr0200X.

On what date was the 1417968637 assigned to Lake Jackson Imaging Center?

The Lake Jackson Imaging Center was issued its 1417968637 on 2006-08-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Lake Jackson Imaging Center most recently updated or revised?

The information pertaining to Lake Jackson Imaging Center, including its address, specialty, and other relevant details, was last updated or revised on 2008-10-16.

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