MEMORIAL MRI & DIAGNOSTIC, LLC (NPI# 1447341797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447341797 |
| Entity Type | Organization |
| Organization Name | MEMORIAL MRI & DIAGNOSTIC, LLC |
| Other Organization Name | MEMORIAL NUCLEAR IMAGING |
| Practice Address |
8800 Katy Fwy Ste 105 Houston TX 77024-1645 |
| Mailing Address |
Po Box 802185 Houston TX 77280-2185 |
| Practice Telephone | 7134613399 |
| Practice Fax Number | 7134611969 |
| Mailing Telephone | 7134613399 |
| Mailing Fax Number | 7134611969 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | JORRIE FATHEREE (MANAGER) |
| Authorized Official Telephone | 7134613399 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine | L05997 | TX | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
L05997 | TX | Allopathic & Osteopathic Physicians |
| N | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
L05997 | TX | Allopathic & Osteopathic Physicians |
| N | 207UN0903X |
Nuclear Medicine Specialization: In Vivo & In Vitro Nuclear Medicine |
L05997 | TX | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
L05997 | TX | Allopathic & Osteopathic Physicians |
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
L05997 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS, BLUE SHIELD | 0203DC | 01 |
| TX | 153985002 | 05 |
| Other Name | Type Code |
|---|---|
| Memorial Nuclear Imaging | Doing Business As Name - Organization |
| Street Address |
8800 KATY FWY STE 105 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77024-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831690239 | Kiran Nizar Virani | Nurse Practitioner | 8800 Katy Fwy Ste 105, Houston, TX 77024-1645 | 2018-02-22 |
| 1407360100 | Vanguard Spine & Sport, Pllc | Family Medicine | 8800 Katy Fwy Ste 105, Houston, TX 77024-1645 | 2017-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154955664 | Candace L Lillibridge | Physical Therapist | 700 Town & Country Blvd, Suite 2490, Houston, TX 77024 | 2020-02-24 |
| 1952940728 | Generations Provider Services LLC | Technician | 12633 Memorial Dr #242 Unit, Houston, TX 77024 | 2019-12-27 |
| 1912540352 | Francesca Penner | Psychologist | 920 Frostwood Drive, Suite 670 and 680, Houston, TX 77024 | 2019-10-17 |
| 1407498553 | Charles Hooks Iv | Technician | 12119 Perthshire Rd, Houston, TX 77024 | 2019-10-10 |
| 1427614379 | Texas Regional Clinic | Pain Medicine | 8301 Katy Freeway, Suite 101, Houston, TX 77024 | 2019-05-16 |
| 1922663871 | Fast Premier Transport LLC | Secured Medical Transport (VAN) | 811 Town and Country Blvd., Suite 141, Houston, TX 77024 | 2019-05-07 |
| 1205317534 | Hiro Health Corporation | Durable Medical Equipment & Medical Supplies | 8584 Katy Freeway, Suite 422, Houston, TX 77024 | 2018-08-24 |
| 1548799901 | K Med Pharmacy | Pharmacy | 11900 Barryknoll #6109, Houston, TX 77024 | 2017-06-08 |
| 1184166712 | Baylor College of Medicine | Clinic/Center | 8660 Memorial Drive, Houston, TX 77024 | 2016-11-14 |
| 1376092197 | Elyse Sears Dds Pllc | Dentist | 803 W Sam Houston Pkwy N, Ste 124, Houston, TX 77024 | 2016-09-22 |
| Find all providers in zip 77024 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003188376 | Interventional, Vascular & Diagnostic Associates, Pa | Radiology | 16 Crestwood Dr, Houston, TX 77007-7007 | 2012-02-02 |
| 1952716862 | Harleen Kaur | Radiology | 6431 Fannin St, Houston, TX 77030 | 2014-06-30 |
| 1932427648 | Esther Evette Siladji Coronel | Radiology | 7026 Old Katy Rd Ste 276, Houston, TX 77024-2187 | 2010-05-06 |
| 1831312917 | V B Shenoy M D P A | Radiology | 509 W Tidwell Rd Ste 130, Houston, TX 77091-4356 | 2007-04-10 |
| 1447328950 | Isis W. Gayed | Radiology | 6411 Fannin St, Radiology, Houston, TX 77030-1501 | 2006-12-01 |
| 1750464699 | Fernando Cesani-vazquez | Radiology | 7026 Old Katy Rd, Suite 276, Houston, TX 77024-2133 | 2006-10-23 |
| 1467546101 | Homer A. Macapinlac | Radiology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-10-03 |
| 1942393079 | Donald A. Podoloff | Radiology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-10-02 |
| 1538260112 | Franklin C. Wong | Radiology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-09-26 |
| 1467557256 | Barry I. Samuels | Radiology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-09-14 |
| 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.