# MEMORIAL HERMANN HEALTH SYSTEM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Hermann Imaging Centers-Clearlake Center RR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538312277
- **Authorized official:** DENNIS LARAWAY (CFO)
- **Authorized official phone:** (713) 242-2707

## Contact information

- **Practice address:** 16915 EL CAMINO REAL, HOUSTON, TX 77058-2614
- **Practice address phone:** (281) 283-8631
- **Practice address fax:** (713) 338-4158
- **Mailing address:** PO BOX 301208, DALLAS, TX 75303-1208
- **Mailing address phone:** (713) 338-4127
- **Mailing address fax:** (713) 338-4158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 06/26/2014