{
"Npi": {
"NPI": "1396065140",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KINGSPOINT MEDICAL IMAGING INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "14200 GULF FWY STE 102",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77034-5361",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "713-943-9933",
"MailingAddressFaxNumber": "713-943-1833",
"FirstLinePracticeLocationAddress": "14200 GULF FWY STE 102",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOUSTON",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77034-5361",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "713-943-9933",
"PracticeLocationAddressFaxNumber": "713-943-1833",
"EnumerationDate": "06/03/2010",
"LastUpdateDate": "03/22/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NGOLE",
"AuthorizedOfficialFirstName": "CELESTINE",
"AuthorizedOfficialMiddleName": "NDILLE",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RT(R)",
"AuthorizedOfficialTelephoneNumber": "832-766-3614",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "335V00000X",
"TaxonomyName": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"LicenseNumber": "R33971",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}