Integrated Diagnostic Center, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

INTEGRATED DIAGNOSTIC CENTER, INC.

Practice address

11811 North Fwy
# 200
Houston, TX 77060-3245

Phone

(713) 290-2201

Fax

(713) 290-2201

NPI assigned

Oct 6, 2015

Organization subpart

Yes

Parent organization

RADIOLOGY FACILITIES CO.As reported in NPPES

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

Authorized official

Name

Mr. John E. Allen

Title

Ceo

Phone

(713) 290-2113

Specialties & licenses 1

Addresses

Other names 1

• Integrated Diagnostic Center Doing business as

Locations

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1356711154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 NORTH FWY",
            "address_2": "# 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603245",
            "telephone_number": "713-290-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 NORTH FWY",
            "address_2": "# 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603245",
            "telephone_number": "713-290-2201",
            "fax_number": "713-290-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DIAGNOSTIC CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIOLOGY FACILITIES CO.",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-290-2113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Radiology Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.