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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 Specialty Code Provider Type

Nuclear Radiology

2085N0904X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

In Vivo & In Vitro Nuclear Medicine

207UN0903X 36 Physician/Nuclear Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
 

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
 

Nuclear Medicine

207U00000X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for MEMORIAL MRI & DIAGNOSTIC, LLC

NPI # 1447341797
LBN Legal business name MEMORIAL MRI & DIAGNOSTIC, LLC
Authorized official JORRIE FATHEREE - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2006
Last updated 07/26/2019 - About 7 years ago
Identifiers
TX License # L05997
TX Medicaid 153985002
TX Other 0203DC BLUE CROSS, BLUE SHIELD
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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