# RANEK, LC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Imaging Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417912544
- **Authorized official:** MRS. KATHIE HALEY (OPERATIONS MANAGER)
- **Authorized official phone:** (936) 462-9909

## Contact information

- **Practice address:** 4932 NORTH ST, NACOGDOCHES, TX 75965-1878
- **Practice address phone:** (936) 462-9909
- **Practice address fax:** (936) 462-8528
- **Mailing address:** PO BOX 632067, NACOGDOCHES, TX 75963-2067
- **Mailing address phone:** (936) 462-9909
- **Mailing address fax:** (936) 462-8528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | TX | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 05/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0433DC | BLUECROSS BLUESHIELD | TX |
| 05 | — | 1718710-01 | — | TX |
| 01 | — | P00249391 | RAILROAD MEICARE | — |