Active NPI
Managed Diagnostics LLC
- Multi-Specialty Clinic/Center
- Houston, TX
National Provider Identifier
1043864754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.