OrganizationActive
Lake Jackson Imaging Center
NPI 1417968637 · Radiology Clinic/Center · Lake Jackson, TX
Provider details
- NPI number
- 1417968637
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Buck, Medical Director(936) 203-5996
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
217 Oak Drive South Suite a
Lake Jackson, TX 77566
Phone: (979) 297-2800
Street-level locationGet directions
Mailing address
217 Oak Dr S
Lake Jackson, TX 77566-5675
Registry dates
- Enumerated
- 2006-08-11
- Last updated
- 2008-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.