Organization
LAKESIDE MRI & DIAGNOSTIC CENTER
Active
Other names
Vaibhav International Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEER ABDULHUSSEIN (PRESIDENT)
(833) 633-7331
Entity
Organization
Contact information
Practice address
17360 HIGHWAY 3, WEBSTER, TX 77598-4133
(281) 338-5575
(281) 554-8407
Mailing address
PO BOX 890313, HOUSTON, TX 77289-0313
(281) 338-5575
(281) 554-8407
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0880528-02
—
TX
Enumeration date
12/28/2006
Last updated
11/17/2022
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