Provider Demographics
NPI:1003210105
Name:KINGSPOINT MEDICAL IMAGING, INC
Entity Type:Organization
Organization Name:KINGSPOINT MEDICAL IMAGING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CELESTINE
Authorized Official - Middle Name:NDELE
Authorized Official - Last Name:NGOLE
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:832-766-3614
Mailing Address - Street 1:14200 GULF FWY STE 102
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-5361
Mailing Address - Country:US
Mailing Address - Phone:713-943-9933
Mailing Address - Fax:713-943-1833
Practice Address - Street 1:14200 GULF FWY STE 102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-5361
Practice Address - Country:US
Practice Address - Phone:713-943-9933
Practice Address - Fax:713-943-1833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX353692Medicare PIN