Origin Imaging & Diagnostics LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

ORIGIN IMAGING & DIAGNOSTICS LLC

Practice address

19610 Tomball Pkwy Ste 300
Houston, TX 77070-3006

Phone

(832) 982-0845

Fax

(888) 663-9778

NPI assigned

Aug 3, 2021

Organization subpart

No

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

Authorized official

Name

Ali MazloomNPI 1962794560

Title

Authorized Official

Phone

(832) 982-0845

Specialties & licenses 1

Addresses

Tax ID family

Origin Imaging Diagnostics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Origin Imaging & Diagnostics LLC

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1821603580
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali Mazloom, M.D.

  • Radiation Oncology Physician
  • Cypress, TX
  • NPI 1962794560
  NPD Authorized official

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1194499103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 KATY FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241619",
            "telephone_number": "832-982-0845",
            "fax_number": "888-663-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19610 TOMBALL PKWY STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703006",
            "telephone_number": "832-982-0845",
            "fax_number": "888-663-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN IMAGING & DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "MAZLOOM",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "832-982-0845"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Nkonye Oriahi, M.D.
• Oriental Art of Healing
• Blase Orieukwu, APRN
• Origin Diagnostics LLC
• Origin Diagnostics LLC
• Origin Imaging & Diagnostics LLC
• Origin MRI and Diagnostics
• Origin Spine Institute LLC
• Origins CF, Inc
• Origins Hospice Inc

• All providers in Houston, TX
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.