National Provider Identifier Database

MEMORIAL MRI DIAGNOSTIC LLC
Nuclear Radiology

A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.


Contact Information

MEMORIAL MRI & DIAGNOSTIC, LLC
8800 KATY FWY STE 105
HOUSTON, TX77024-1645
Phone: 713-461-3399
Fax: 713-461-1969
Website:
Specialty Taxonomy Code
* Nuclear Radiology 2085N0904X
Diagnostic Radiology 2085R0202X
In Vivo & In Vitro Nuclear Medicine 207UN0903X
Nuclear Cardiology 207UN0901X
Nuclear Imaging & Therapy 207UN0902X
Nuclear Medicine 207U00000X

* Indicates primary specialty

NPI Profile & details for MEMORIAL MRI & DIAGNOSTIC, LLC

NPI Number 1447341797
Legal business name
LBN
MEMORIAL MRI & DIAGNOSTIC, LLC
Authorized official JORRIE FATHEREE - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 09/28/2006
Last updated 07/26/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: L05997
  • TX Medicaid: 153985002
  • TX Other: 0203DC BLUE CROSS, BLUE SHIELD

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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