EASTLAKE RADIOLOGY LLC – NPI #1346427291
Clinic/Center

EASTLAKE RADIOLOGY LLC is an AHC clinic located in HUFFMAN, TX. NPPES has assigned the NPI number 1346427291 to EASTLAKE RADIOLOGY LLC on January 23, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

The NPI profile was previously updated about 17 years ago on Jun 15, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTLAKE RADIOLOGY LLC below.

NPI Profile for
EASTLAKE RADIOLOGY LLC

NPI Number
1346427291
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTLAKE RADIOLOGY LLC
Primary location
11605 FM 1960 E
HUFFMAN, TX 77336
Phone: (877) 839-9517 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEPHEN VOGELPOHL
CEO
Phone: (512) 585-6265
Updated
Identifiers

Identifiers for EASTLAKE RADIOLOGY LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS OF TEXASTX0678DC
OTHERRAILROAD MEDICAREP00699983
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0200X
- Clinic/Center / Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.