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Contact Information

MEMORIAL MRI AND DIAGNOSTIC LLC
1346 CAMPBELL RD
HOUSTON, TX77055-6404
 Phone: 713-461-3399
 Fax: 713-463-5996
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
 

Nuclear Radiology

2085N0904X
 

Radiation Oncology

2085R0203X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for MEMORIAL MRI AND DIAGNOSTIC LLC

NPI Number 1912989120
LBN Legal business name MEMORIAL MRI AND DIAGNOSTIC LLC
Authorized official FRED HUANG - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2005
Last updated 03/17/2025 - More than a year ago
Identifiers
TX License # R26701
TX Medicaid 1539850-01
TX Medicaid 153985002
TX Other 0203DC BLUE CROSS PROVIDER#
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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