GREEN OAK DIAGNOSTICS – NPI #1215039367
Physiological Laboratory

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.

GREEN OAK DIAGNOSTICS is a physiological laboratory located in HUMBLE, TX. NPPES has assigned the NPI number 1215039367 to GREEN OAK DIAGNOSTICS on September 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GREEN OAK DIAGNOSTICS” is a dba name, the actual legal business name for this organization is PENN IMAGING OF HUMBLE, LP. The primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.

The NPI profile was previously updated about 12 years ago on Feb 19, 2014. 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 GREEN OAK DIAGNOSTICS below.

NPI Profile for
PENN IMAGING OF HUMBLE, LP

NPI Number
1215039367
Enumeration Date

(about 20 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
PENN IMAGING OF HUMBLE, LP
Doing Business As (dba): GREEN OAK DIAGNOSTICS
Primary location
9802 FM 1960 BYPASS RD W STE 100
HUMBLE, TX 77338-3572
Phone: (281) 358-3800 Fax: (281) 358-3910
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GRACIE DE LEON
ADMINISTRATOR
Phone: (281) 358-3800
Updated
Identifiers

Identifiers for GREEN OAK DIAGNOSTICS

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
MEDICAIDTX173119201
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
293D00000X
- Physiological Laboratory (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.