Organization · Type 2 NPI
Lake Jackson Imaging Center
Radiology Clinic/Center · Lake Jackson, TX
NPI number
1417968637
Active
Practice location
217 Oak Drive South Suite A
Lake Jackson, TX 77566
Mailing address
217 Oak Dr S, Suite A
Lake Jackson, TX 77566-5675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | None listed |
Radiology Clinic/Center: Definition to come...
About NPI 1417968637
Lake Jackson Imaging Center's National Provider Identifier is 1417968637, issued on Aug 11, 2006. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Lake Jackson, TX. The record was last updated on Oct 16, 2008.