ANGELCARE IMAGING, LLC


Address: 17490 Highway 3 Ste B400, Webster, TX 77598-4160
Phone: 8325885624

ANGELCARE IMAGING, LLC (NPI# 1205485059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205485059
Entity Type Organization
Organization Name ANGELCARE IMAGING, LLC
Other Organization Name ANGELCARE MEDICAL IMAGING
Practice Address 17490 Highway 3 Ste B400
Webster
TX 77598-4160
Mailing Address 1125 Gulfton Dr
Pearland
TX 77581-6738
Practice Telephone 8325885624
Mailing Telephone 8325885624
Enumeration Date 2019-09-04
Last Update Date 2020-03-28
Authorized Official Name MR. DONALD A RICHARDSON (PRESIDENT)
Authorized Official Telephone 8325885624
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities
Y 293D00000X Physiological Laboratory Laboratories

Other Provider/Organization Names

Other Name Type Code
AngelCare Medical Imaging Doing Business As Name - Organization

Office Location

Street Address 17490 HIGHWAY 3 STE B400
City WEBSTER
State TX
Zip Code 77598-4160

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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5.

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1194334144 Sonji M Blanchard Physiological Laboratory 8553 N Beach St Ste 224, Fort Worth, TX 76244-4919 2020-07-27
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Competitor

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City WEBSTER
Zip Code 77598

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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