Organization Active NPI

Managed Diagnostics LLC

  • Multi-Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1043864754
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MANAGED DIAGNOSTICS LLC
Practice address
5151 Mitchelldale St
Suite B4
Houston, TX 77092
Phone
(281) 944-4708
NPI assigned
Jul 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Charles H James
Title
President
Phone
(936) 662-8821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

5151 Mitchelldale St
Suite B4
Houston, TX 77092

Mailing address

1795 Fry Rd Ste 292
Katy, TX 77449-3347
Phone (281) 944-4708

National Provider Directory

National Provider Directory

Locations

5151 Mitchelldale St
Ste B4
Houston, TX 77092
Phone (281) 944-4708

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1043864754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 FRY RD STE 292",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774493347",
            "telephone_number": "281-944-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MITCHELLDALE ST",
            "address_2": "SUITE B4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77092",
            "telephone_number": "281-944-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGED DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-662-8821",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.