CONROE DIAGNOSTIC IMAGING, INC


Address: 371 Cumberland Trl, Conroe, TX 77302-2903
Phone: 9365208858

CONROE DIAGNOSTIC IMAGING, INC (NPI# 1982956033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982956033
Entity Type Organization
Organization Name CONROE DIAGNOSTIC IMAGING, INC
Practice Address 371 Cumberland Trl
Conroe
TX 77302-2903
Practice Telephone 9365208858
Mailing Telephone 9365208858
Enumeration Date 2012-10-12
Last Update Date 2013-03-07
Authorized Official Name JIM ST VIGNE (ADMINSTRATOR)
Authorized Official Telephone 9365208858
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
R28478 TX Ambulatory Health Care Facilities

Office Location

Street Address 371 CUMBERLAND TRL
City CONROE
State TX
Zip Code 77302-2903

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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

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Competitor

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City CONROE
Zip Code 77302

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Dataset Information

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.

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