Organization
ORIGIN IMAGING & DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI MAZLOOM (MANAGER)
(832) 982-0845
Entity
Organization
Contact information
Practice address
9135 KATY FWY STE 102, HOUSTON, TX 77024-1636
(832) 655-4846
Mailing address
PO BOX 6257, LONGVIEW, TX 75608-6257
(832) 982-0845
(888) 663-9778
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
11/23/2022
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