INTEGRATED MRI & DIAGNOSTIC LLC (NPI# 1417134974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417134974 |
| Entity Type | Organization |
| Organization Name | INTEGRATED MRI & DIAGNOSTIC LLC |
| Practice Address |
1051 Pineloch Dr Suite 175 Houston TX 77062-2742 |
| Practice Telephone | 2814887226 |
| Practice Fax Number | 2814882077 |
| Mailing Telephone | 2814887226 |
| Mailing Fax Number | 2814882077 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |
| Authorized Official Name | MR. JAMES MICHAEL LATHAM (OWNER) |
| Authorized Official Telephone | 2814887226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
1051 PINELOCH DR SUITE 175 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77062-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700870615 | Rahn Hall | Obstetrics & Gynecology | 1051 Pineloch Dr, Ste 600, Houston, TX 77062-2742 | 2005-09-07 |
| 1386190619 | Kristen Broaddus | Nurse Practitioner | 1051 Pineloch Dr, #600, Houston, TX 77062 | 2016-08-28 |
| 1033473756 | Experienced Office Billing LLC | Contractor | 1051 Pineloch Dr, Suite 700, Houston, TX 77062-2742 | 2012-06-27 |
| 1750645479 | Complete Infusion Services LLC | Home Infusion | 1051 Pineloch Dr, Suite 700, Houston, TX 77062-2742 | 2012-06-27 |
| 1770881484 | Complete Billing Services Inc. | Contractor | 1051 Pineloch Dr, #700, Houston, TX 77062-2742 | 2011-03-03 |
| 1487986501 | Pineloch Infusion Center Inc | Pharmacy | 1051 Pineloch Dr, Suite 700, Houston, TX 77062-2742 | 2010-02-01 |
| 1265666754 | Pineloch Emergency Care | Clinic/Center | 1051 Pineloch Dr, Ste 700, Houston, TX 77062-2742 | 2009-05-12 |
| 1457576910 | Bay Oaks Orthopaedics & Sports Medicine, P.a. | Specialist | 1051 Pineloch Dr, Suite 100, Houston, TX 77062-2742 | 2007-04-17 |
| 1457427890 | James Mitchell Foster | Dentist | 1051 Pineloch Dr, Houston, TX 77062-2742 | 2006-11-28 |
| 1457433757 | Rebecca A Grimaldo | Nurse Practitioner | 1051 Pineloch Dr, Suite 600, Houston, TX 77062-2742 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163582 | Amy Ceniza Babanto | Assistant Behavior Analyst | 1001 Pineloch Drive, Suite 600, Houston, TX 77062 | 2018-11-26 |
| 1457839516 | Providence Clearlake Specialty Hospital LLC | Special Hospital | 1351 Clearlake City Blvd, Houston, TX 77062 | 2018-08-01 |
| 1669977468 | Distinct Abilities Academic Preschool, LLC | Occupational Therapist | 14045 Space Center Blvd., Houston, TX 77062 | 2018-03-26 |
| 1568984128 | Sydney Ann Hayes | Specialist/Technologist | 15818 Seahorse Dr., Houston, TX 77062 | 2017-07-14 |
| 1114389509 | Jts Express Transportation Services, LLC | Private Vehicle | 806 Oak Harbor Drive, Houston, TX 77062 | 2016-03-24 |
| 1609269505 | Lauren Amilcar | Pharmacist | 16590 El Camilo Real, Houston, TX 77062 | 2015-03-17 |
| 1457609000 | Marilyn Ann Straitwell | Registered Nurse | 2323 Clear Lake City Blvd., Suite 180-213, Houston, TX 77062 | 2012-08-29 |
| 1447537477 | Julie H Du | Dentist | 2323 Clear Lake City Blvd. #140, Houston, TX 77062 | 2011-11-04 |
| 1437488756 | Yolanda Franklin | Massage Therapist | 16646 La Avenida Dr., Houston, TX 77062 | 2009-12-16 |
| 1992034391 | Phuong-anh 'christy' Nguyen | Nurse Practitioner | 14642 St. Cloud, Houston, TX 77062 | 2009-12-14 |
| Find all providers in zip 77062 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1164921300 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 | 2018-02-02 |
| 1336650860 | Fast Recovery Healthcare Center LLC | Clinic/Center | 6260 Westpark Dr Ste 300h, Houston, TX 77057-7353 | 2017-10-24 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.