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Organization
ORIGIN IMAGING & DIAGNOSTICS LLC
Active
Organization
ORIGIN IMAGING & DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI MAZLOOM (AUTHORIZED OFFICIAL)
(832) 982-0845
Entity
Organization
Contact information
Practice address
19610 TOMBALL PKWY STE 300, HOUSTON, TX 77070-3006
(832) 982-0845
(888) 663-9778
Mailing address
9135 KATY FWY, HOUSTON, TX 77024-1619
(832) 982-0845
(888) 663-9778
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
11/23/2022
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