Organization
EAST TEXAS OPEN MRI & DIAGNOSTICS L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTIE R LACOUNT (ADMIN)
(936) 699-2798
Entity
Organization
Contact information
Practice address
232 NORTH JOHN REDDITT DRIVE, LUFKIN, TX 75904
(936) 699-2798
(936) 699-2885
Mailing address
232 NORTH JOHN REDDITT DRIVE, LUFKIN, TX 75904
(936) 699-2798
(936) 699-2885
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R27244
TX
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152600601
—
TX
01
—
FTX304
MEDICARE PTAN
TX
Enumeration date
03/29/2006
Last updated
09/18/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up