Organization
MEMORIAL MRI AND DIAGNOSTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED HUANG (CHIEF FINANCIAL OFFICER)
(713) 461-3399
Entity
Organization
Contact information
Practice address
1346 CAMPBELL RD, HOUSTON, TX 77055-6404
(713) 461-3399
(713) 463-5996
Mailing address
PO BOX 55159, HOUSTON, TX 77255-5159
(713) 461-3399
(713) 461-1969
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
R26701
TX
2085N0904X
Nuclear Radiology Physician
R26701
TX
2085R0202X
Diagnostic Radiology Physician
Primary
R26701
TX
2085R0203X
Therapeutic Radiology Physician
R26701
TX
2085R0204X
Vascular & Interventional Radiology Physician
R26701
TX
2085U0001X
Diagnostic Ultrasound Physician
R26701
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0203DC
BLUE CROSS PROVIDER#
TX
05
—
1539850-01
—
TX
05
—
153985002
—
TX
Enumeration date
11/15/2005
Last updated
03/17/2025
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