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WOODLANDS DIAGNOSTIC CLINIC, PA
NPI 1336753508
Family Medicine - Adult Medicine in Shenandoah, TX

Active since September 03, 2020CLIA 45D2320964 · Waiver
9201 PINECROFT DR STE 200, SHENANDOAH, TX 77380(281) 863-9554 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2023, Nov 17, 2020, Nov 4, 2020 and 1 more (4 updates tracked since 2020).

About Woodlands Diagnostic Clinic, Pa NPPES

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

WOODLANDS DIAGNOSTIC CLINIC, PA (NPI 1336753508) is a healthcare organization registered as an adult medicine in Shenandoah, Texas and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through March 25, 2027, maintains a secondary practice location in Shenandoah, and lists Tammie Rogers, Director, as its authorized official.

NPPES Registry Identity

NPI1336753508
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameWOODLANDS DIAGNOSTIC CLINIC, PA
Location Address9201 PINECROFT DR STE 200Shenandoah, TX 77380-3889
Mailing Address9201 Pinecroft Dr Ste 200Shenandoah, TX 77380-3889 · (281) 863-9554
Phone(281) 863-9554
Organization SubpartNo
Authorized OfficialTammie RogersDirector · (281) 863-9554
Enumeration DateSeptember 3, 2020
Last NPPES UpdateAugust 7, 20234 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1336753508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
9201 PINECROFT DR STE 200, Shenandoah, TX 77380
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Secondary Practice Location 1

Location 19201 Pinecroft DrShenandoah, TX 77380-3889 · Phone (281) 863-9554 · Fax (281) 651-4818

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 45D2320964

Woodlands Diagnostic Clinic · Shenandoah, TX
Active · expires Mar 25, 2027
CLIA Number45D2320964
Laboratory TypePhysician Office
Certificate Effective DateMarch 26, 2025
Certificate Expiration DateMarch 25, 2027
Laboratory DirectorTodd J. Youngblood
Laboratory Phone(281) 863-9554
Laboratory LocationWoodlands Diagnostic Clinic9201 Pinecroft Ste 200, Shenandoah, TX 77380
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

LEGACY ANESTHESIA ASSOCIATES PA
Anesthesiology
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
Montgomery County (832) 953-2280
DR. MICHELLE HOWZE MOORE DPT
Physical Therapist (Orthopedic)
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
Montgomery County (281) 394-4704
PATRICK TOLUWATELE OGIDAN M.D.
Internal Medicine
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
Montgomery County (281) 863-9554
MRS. KENDEL DOLEN FNP
Nurse Practitioner (Family)
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
Montgomery County (281) 863-9554
LEGACY PAIN ASSOCIATES, P.A.
Pain Medicine (Pain Medicine)
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
Montgomery County (832) 953-2280
SHARON TIWALOLA OGIDAN MD
Hospitalist
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
Montgomery County (281) 863-9554
DISTINCTIVE PHYSICAL THERAPY AND WELLNESS CENTER PLLC
Physical Therapist (Orthopedic)
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
Montgomery County (281) 394-4704
WILLIAM A FRIDLEY M.D.
Internal Medicine
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
Montgomery County (281) 863-9554

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 Woodlands Diagnostic Clinic, PA's NPI number?

The NPI number for Woodlands Diagnostic Clinic, PA is 1336753508. It was assigned to this organization in the NPPES registry on September 3, 2020.

Where is Woodlands Diagnostic Clinic, PA located?

Woodlands Diagnostic Clinic, PA is located at 9201 Pinecroft Dr Ste 200, Shenandoah, TX 77380. The listed phone number is (281) 863-9554.

What is Woodlands Diagnostic Clinic, PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Woodlands Diagnostic Clinic, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2320964) is associated with this NPI, valid through March 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Woodlands Diagnostic Clinic, PA accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Woodlands Diagnostic Clinic, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Woodlands Diagnostic Clinic, PA was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.