| Principle Imaging, LLC | |
|
16840 Buccaneer Ln Ste 261 Houston TX 77058-2570 | |
| (832) 932-5968 | |
| Not Available |
| Full Name | Principle Imaging, LLC |
|---|---|
| Speciality | Physiological Laboratory |
| Location | 16840 Buccaneer Ln Ste 261, Houston, Texas |
| Authorized Official Name and Position | Blake T Werner (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 8325498355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Principle Imaging, LLC 16840 Buccaneer Ln Ste 261 Houston TX 77058-2570 | Principle Imaging, LLC 16840 Buccaneer Ln Ste 261 Houston TX 77058-2570 Ph: (832) 932-5968 |
| NPI Number | 1841032810 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 06/11/2024 |
| Certification Date | 06/11/2024 |
| Medicare PECOS PAC ID | 6406397017 |
|---|---|
| Medicare Enrollment ID | O20240924000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841032810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 293D00000X | Physiological Laboratory | () | Primary |
| 335V00000X | Portable X-ray And/or Other Portable Diagnostic Imaging Supplier | () | Secondary |
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