# BELLAIRE DIAGNOSTIC IMAGING, LLC

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

## Provider details

- **NPI number:** 1366541922
- **Authorized official:** DR. JOHN LEE M.D. (PRESIDENT)
- **Authorized official phone:** (832) 239-8538

## Contact information

- **Practice address:** 9440 BELLAIRE BLVD STE 100, HOUSTON, TX 77036-4558
- **Practice address phone:** (832) 239-8538
- **Practice address fax:** (713) 772-8032
- **Mailing address:** 9440 BELLAIRE BLVD STE 100, HOUSTON, TX 77036-4558
- **Mailing address phone:** (832) 239-8538
- **Mailing address fax:** (713) 772-8032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 12/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 180264701 | — | TX |