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Organization
CONROE DIAGNOSTIC IMAGING, INC
Active
Organization
CONROE DIAGNOSTIC IMAGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM ST VIGNE (ADMINSTRATOR)
(936) 520-8858
Entity
Organization
Contact information
Practice address
371 CUMBERLAND TRL, CONROE, TX 77302-2903
(936) 520-8858
Mailing address
371 CUMBERLAND TRL, CONROE, TX 77302-2903
(936) 520-8858
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
R28478
TX
Other
Enumeration date
10/12/2012
Last updated
03/07/2013
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