Organization Active NPI

Integrimed Diagnostic Services, LLC

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1215319017
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
INTEGRIMED DIAGNOSTIC SERVICES, LLC
Practice address
16840 Buccaneer LN
Suite 201
Houston, TX 77058-2507
Phone
(281) 944-4701
NPI assigned
Jun 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Mrs. Diana Telosa
Title
Owner
Phone
(281) 944-4701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

16840 Buccaneer LN
Suite 201
Houston, TX 77058-2507

Mailing address

1450 W Grand Pkwy S
Suite G-454
Katy, TX 77494-8286
Phone (281) 944-4701

National Provider Directory

National Provider Directory

Locations

16840 Buccaneer Ln
Ste 201
Houston, TX 77058
Phone (281) 944-4701

1450 W Grand Pkwy S
Ste G454
Katy, TX 77494

100 Nasa Pkwy
Ste 4010
Webster, TX 77598
Phone (281) 944-4708

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1215319017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W GRAND PKWY S",
            "address_2": "SUITE G-454",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948286",
            "telephone_number": "281-944-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16840 BUCCANEER LN",
            "address_2": "SUITE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582507",
            "telephone_number": "281-944-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIMED DIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "TELOSA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-944-4701",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "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 Feb 17, 2017; 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.