# DIVERSIFIED INDEPENDENT DIAGNOSTICS

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

## Provider details

- **NPI number:** 1861710006
- **Authorized official:** MR. DAVID GRIGORIAN (DIRECTOR/OWNER)
- **Authorized official phone:** (713) 650-9500

## Contact information

- **Practice address:** 1701 WEBSTER ST STE C, HOUSTON, TX 77003-5800
- **Practice address phone:** (713) 650-9500
- **Mailing address:** 1701 WEBSTER ST STE C, HOUSTON, TX 77003-5800
- **Mailing address phone:** (713) 650-9500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KA0200X | Allergy Physician | — | NULL | — |
| 207KA0200X | Allergy Physician | — | — | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | — | Yes |
| 302F00000X | Exclusive Provider Organization | — | NULL | — |

## Other

- **Enumeration date:** 05/12/2010
- **Last updated:** 05/12/2010