National Provider Identifier Database

MEMORIAL MRI AND DIAGNOSTIC LLC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Contact Information

MEMORIAL MRI AND DIAGNOSTIC LLC
1346 CAMPBELL RD
HOUSTON, TX  77055-6404
Phone: 713-461-3399
Fax: 713-463-5996
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Body Imaging 2085B0100X
Diagnostic Ultrasound 2085U0001X
Nuclear Radiology 2085N0904X
Radiation Oncology 2085R0203X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for MEMORIAL MRI AND DIAGNOSTIC LLC

NPI Number 1912989120
Legal business name
LBN		 MEMORIAL MRI AND DIAGNOSTIC LLC
Authorized official FRED HUANG - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 11/15/2005
Last updated 03/17/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: R26701
  • TX Medicaid: 1539850-01
  • TX Medicaid: 153985002
  • TX Other: 0203DC BLUE CROSS PROVIDER#

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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