| Clearlake Imaging LLC | |
|
202 N Texas Ave Ste 400 Webster TX 77598-4967 | |
| (832) 667-8132 | |
| (281) 643-0440 |
| Full Name | Clearlake Imaging LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 202 N Texas Ave Ste 400, Webster, Texas |
| Authorized Official Name and Position | Nidhi Sharma (OFFICE MANAGER) |
| Authorized Official Contact | 8326678132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearlake Imaging LLC 202 N Texas Ave Ste 400 Webster TX 77598-4967 Ph: (832) 667-8132 | Clearlake Imaging LLC 202 N Texas Ave Ste 400 Webster TX 77598-4967 Ph: (832) 667-8132 |
| NPI Number | 1922513134 |
|---|---|
| Provider Enumeration Date | 12/11/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922513134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 261QR0200X | Clinic/center - Radiology | () | Secondary |
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