# INTEGRIMED DIAGNOSTIC SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215319017
- **Authorized official:** MRS. DIANA TELOSA (OWNER)
- **Authorized official phone:** (281) 944-4701

## Contact information

- **Practice address:** 16840 BUCCANEER LN, SUITE 201, HOUSTON, TX 77058-2507
- **Practice address phone:** (281) 944-4701
- **Mailing address:** 1450 W GRAND PKWY S, SUITE G-454, KATY, TX 77494-8286
- **Mailing address phone:** (281) 944-4701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2015
- **Last updated:** 02/17/2017