Origin Diagnostics LLC
Organization Active NPI Radiology Clinic/Center · Houston, TX
NPI 1033907142 · NPPES record last updated Aug 8, 2025
Key facts
- NPI
- 1033907142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Legal business name
- ORIGIN DIAGNOSTICS LLC
- Practice address
- 9135 Katy Fwy Ste 102
Houston, TX 77024-1636 - Phone
- (832) 429-2216
- NPI assigned
- Apr 28, 2025
- Organization subpart
- No
Authorized official
- Name
- Ali Mazloom
- Title
- Manager
- Phone
- (832) 429-2216
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 2
Practitioners 13
-
Sandeep Amesur, M.D.
-
Matthew K Dang, M.D.
-
Vikram Mysore Hatti, M.D.
-
Michael P Murphy, M.D.
-
Sanjay K Narotam, M.D.
-
Chad Thomas Porter, M.D.
-
Marcus Villery Stelly, M.D.
-
Ronald R Winters, M.D.
-
Ali Mazloom, M.D.
-
Morgan Haile, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in CT, TX, LA, OK, CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250912000687 | CT | Part B Supplier - Clinic/Group Practice | 3173026499 |
Receives reassigned benefits from 1 practitioner 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Avon, CT |
| O20250917003336 | TX | Part B Supplier - Clinic/Group Practice | 3173026499 |
Receives reassigned benefits from 5 practitioners 2 other NPIs on this enrollment Practice locations: Houston, TX; The Woodlands, TX; Sugar Land, TX; Carrollton, TX |
| O20250918001288 | LA | Part B Supplier - Clinic/Group Practice | 3173026499 |
Receives reassigned benefits from 3 practitioners 2 other NPIs on this enrollment Practice locations: Shreveport, LA; New Orleans, LA; Lafayette, LA |
| O20250918002656 | OK | Part B Supplier - Clinic/Group Practice | 3173026499 |
Receives reassigned benefits from 2 practitioners 2 other NPIs on this enrollment Practice locations: Oklahoma City, OK |
| O20251002003165 | TX | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3173026499 | Practice locations: Houston, TX |
| O20251210001640 | CA | Part B Supplier - Clinic/Group Practice | 3173026499 |
Receives reassigned benefits from 1 practitioner 2 other NPIs on this enrollment Practice locations: Fullerton, CA |
National Provider Directory
- Tax ID family
- Origin Diagnostics LLC
Locations
9135 Katy Fwy
Ste 102
Houston, TX 77024
Phone (832) 429-2216
17227 W Grand Pkwy S
#B
Sugar Land, TX 77479
Phone (281) 899-0019
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Yes |
Addresses
Primary practice location
9135 Katy Fwy Ste 102
Houston, TX 77024-1636
Mailing address
9135 Katy Fwy Ste 102
Houston, TX 77024-1636
Other practice location 1
19610 Tomball Pkwy Ste 300
Houston, TX 77070-6170
Phone (832) 429-2216
Other practice location 2
17227 W Grand Pkwy S Ste B
Sugar Land, TX 77479-3689
Phone (832) 429-2216
Other providers in Houston, TX
- Ori Hope Counseling PLLC
- Onyekachukwu Nnenne Oriabure
- Emmanuel Nkonye Oriahi
- Oriental Art of Healing
- Blase Orieukwu
- Origin Diagnostics LLC
- Origin Imaging & Diagnostics LLC
- Origin Imaging & Diagnostics LLC
- Origin MRI and Diagnostics
- Origin Spine Institute LLC
All providers in Houston, TX · Radiology Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.