Provider Demographics
NPI:1639416688
Name:CLAY HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:CLAY HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SOHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROOPANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-240-6400
Mailing Address - Street 1:4001 W SAM HOUSTON PKWY N STE 110
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-1236
Mailing Address - Country:US
Mailing Address - Phone:713-996-0900
Mailing Address - Fax:713-996-0901
Practice Address - Street 1:4001 W SAM HOUSTON PKWY N
Practice Address - Street 2:SUITE 110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-1235
Practice Address - Country:US
Practice Address - Phone:713-996-0900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-10
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic