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NPI Code Detail

MEDICARE: PRINCIPLE IMAGING, LLC

MEDICARE: PRINCIPLE IMAGING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center
2335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
3293D00000XPhysiological Laboratory

General Provider Information

NPI Number : 1841032810
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRINCIPLE IMAGING, LLC
Provider Business Mailing Address
First Line : 16840 BUCCANEER LN STE 261
Second Line :
City : HOUSTON
State : TX
Zip : 77058-2570
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16840 BUCCANEER LN STE 261
Second Line :
City : HOUSTON
State : TX
Zip : 77058-2570
Country : US
Telephone Number : 832-932-5968
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF BUSINESS OPERATIONS
Name : BLAKE T WERNER
Credential :
Telephone Number : 832-549-8355
Provider Enumeration Date : 06/11/2024
Last Update Date : 06/11/2024

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Directions to “PRINCIPLE IMAGING, LLC ” Practice Location

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