St. Matthew Diagnostic Clinic, Inc.

Primary specialty

Cardiology TechnicianTaxonomy code 246W00000X

Legal business name

ST. MATTHEW DIAGNOSTIC CLINIC, INC.

Practice address

7111 Harwin Dr Ste 125
Houston, TX 77036-2130

Phone

(832) 877-3465

Fax

(713) 784-1725

NPI assigned

Jun 8, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Mba

Title

Ceo

Phone

(832) 877-3465

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1083840771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 HARWIN DR STE 125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362130",
            "telephone_number": "832-877-3465",
            "fax_number": "713-784-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 HARWIN DR STE 125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362130",
            "telephone_number": "832-877-3465",
            "fax_number": "713-784-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MATTHEW DIAGNOSTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "MBA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-877-3465",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiology Technician in Houston, TX
• Providers in Houston, TX by specialty
• Cardiology Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.