# WOODLAKE IMAGING, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710988373
- **Authorized official:** MR. MIKE K ZAMIR (PRESIDENT)
- **Authorized official phone:** (832) 242-6200

## Contact information

- **Practice address:** 9600 WESTHEIMER RD, 12A, HOUSTON, TX 77063-3205
- **Practice address phone:** (832) 242-6200
- **Practice address fax:** (832) 242-6201
- **Mailing address:** 9600 WESTHEIMER RD, 12A, HOUSTON, TX 77063-3205
- **Mailing address phone:** (832) 242-6200
- **Mailing address fax:** (832) 242-6201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/04/2005
- **Last updated:** 10/25/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0333DC | BCBS | TX |
| 05 | — | 160671701 | — | TX |