MEMORIAL HERMANN OUTPATIENT IMAGING-SOUTHWEST
NPI 1104012699
Clinic/Center - Radiology in Houston, TX

Active since September 19, 2007CLIA 45D2027043 · Waiver
7789 SOUTHWEST FWY, SUITE 150, HOUSTON, TX 77074(713) 338-4127(713) 338-4158 Get Directions Write a Review

NPPES record last updated: June 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Memorial Hermann Outpatient Imaging-southwest NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL HERMANN OUTPATIENT IMAGING-SOUTHWEST (NPI 1104012699) is a healthcare organization registered as a radiology in Houston, Texas and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104012699
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameMEMORIAL HERMANN HEALTH SYSTEM
Location Address7789 SOUTHWEST FWY, SUITE 150Houston, TX 77074-1829
Mailing AddressPo Box 301208Dallas, TX 75303-1208 · (713) 338-4127 · Fax (713) 338-4158
Fax(713) 338-4158
Organization SubpartNo
Authorized OfficialDennis LarawayCfo · (713) 242-2707
Enumeration DateSeptember 19, 2007
Last NPPES UpdateJune 27, 2014
NPI 1104012699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
7789 SOUTHWEST FWY, Houston, TX 77074

Other Names 1

Doing Business AsMemorial Hermann Outpatient Imaging-southwest

Other Identifiers 1

Medicaid185684101TX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2027043

Memorial Hermann Imaging Center - Southwest · Houston, TX
Active · expires Jul 14, 2027
CLIA Number45D2027043
Laboratory TypeImaging Center
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorRoss A. Miller
Laboratory Phone(713) 569-7008
Laboratory LocationMemorial Hermann Imaging Center - Southwest7789 Southwest Fwy, Medical Plaza 4, Suite 150, Houston, TX 77074
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology (Otology & Neurotology)
7789 SOUTHWEST FWY, #470
HOUSTON, TX 77074
Audiologist
7789 SOUTHWEST FWY, SUITE 470
HOUSTON, TX 77074
Otolaryngology
7789 SOUTHWEST FWY, SUITE 470
HOUSTON, TX 77074
Orthopaedic Surgery
7789 SOUTHWEST FWY, SUITE 410
HOUSTON, TX 77074
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
7789 SOUTHWEST FWY, SUITE 470
HOUSTON, TX 77074
Obstetrics & Gynecology
7789 SOUTHWEST FWY, SUITE 400
HOUSTON, TX 77074
Physical Therapist
7789 SOUTHWEST FWY
HOUSTON, TX 77074
Family Medicine
7789 SOUTHWEST FWY, SUITE 350
HOUSTON, TX 77074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memorial Hermann Health System's NPI number?

The NPI number for Memorial Hermann Health System is 1104012699. It was assigned to this organization in the NPPES registry on September 19, 2007. The provider is doing business as Memorial Hermann Outpatient Imaging-Southwest.

Where is Memorial Hermann Health System located?

Memorial Hermann Health System is located at 7789 Southwest Fwy Suite 150, Houston, TX 77074. The listed phone number is (713) 338-4127.

What is Memorial Hermann Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Does Memorial Hermann Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2027043) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Memorial Hermann Health System was last updated on June 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.