CONROE PREMIER IMAGING CENTER – NPI #1902108574
Clinic/Center

CONROE PREMIER IMAGING CENTER is an AHC clinic located in SHENANDOAH, TX. NPPES has assigned the NPI number 1902108574 to CONROE PREMIER IMAGING CENTER on December 02, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CONROE PREMIER IMAGING CENTER” is a dba name, the actual legal business name for this organization is CONROE PREMIER IMAGING CENTER LP. 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 15 years ago on Jan 13, 2011. 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 CONROE PREMIER IMAGING CENTER below.

NPI Profile for
CONROE PREMIER IMAGING CENTER LP

NPI Number
1902108574
Enumeration Date

(more than 15 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
CONROE PREMIER IMAGING CENTER LP
Doing Business As (dba): CONROE PREMIER IMAGING CENTER
Primary location
111 VISION PARK BLVD
SUITE 130
SHENANDOAH, TX 77384-3002
Phone: (361) 991-1007 Fax: (361) 991-2031
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TAMMY ZIPPRIAN
ADMINISTRATOR
Phone: (361) 991-1007
Updated
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.