Diagnostic Imagepro, LLC

Primary specialty

Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X

Legal business name

DIAGNOSTIC IMAGEPRO, LLC

Practice address

3102 Elkdale Dr
Houston, TX 77082-3023

Phone

(713) 732-2639

NPI assigned

Mar 21, 2009

Last updated

Mar 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Wai Man Tse

Title

Manager

Phone

(713) 732-2639

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1237593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237593600000",
    "number": "1477794493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 ELKDALE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770823023",
            "telephone_number": "713-732-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 ELKDALE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770823023",
            "telephone_number": "713-732-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC IMAGEPRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-21",
        "last_updated": "2009-03-21",
        "status": "A",
        "authorized_official_last_name": "TSE",
        "authorized_official_first_name": "WAI MAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-732-2639",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471B0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Bone Densitometry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.