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Organization
WOODLAKE IMAGING, L.L.C.
Active
Organization
WOODLAKE IMAGING, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE K ZAMIR (PRESIDENT)
(832) 242-6200
Entity
Organization
Contact information
Practice address
9600 WESTHEIMER RD, 12A, HOUSTON, TX 77063-3205
(832) 242-6200
(832) 242-6201
Mailing address
9600 WESTHEIMER RD, 12A, HOUSTON, TX 77063-3205
(832) 242-6200
(832) 242-6201
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0333DC
BCBS
TX
05
—
160671701
—
TX
Enumeration date
08/04/2005
Last updated
10/25/2007
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