Active NPI
Gulf Coast MRI & Diagnostics, Inc.
- Physiological Laboratory
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- License
- 681367
- Legal business name
- GULF COAST MRI & DIAGNOSTICS, INC.
- Practice address
- 830 Gemini St
Houston, TX 77058 - Phone
- (281) 488-7226
- Fax
- (281) 488-2077
- NPI assigned
- May 31, 2006
- Last updated
- Mar 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Michael Latham
- Title
- Ceo
- Phone
- (281) 488-7226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | 681367 | TX | Primary |
Addresses
Primary practice location
830 Gemini St
Houston, TX 77058
Mailing address
830 Gemini St
Houston, TX 77058-2702
Phone (281) 488-7226
Other practice location 1
3692 E Sam Houston Pkwy S
Pasadena, TX 77505-3137
Phone (281) 991-1674
Other practice location 2
11034 Scarsdale Blvd Ste A
Houston, TX 77089-5971
Phone (281) 481-1935
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093951401 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180625000198 | TX | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1456349828 | Practice locations: Houston, TX |
| O20190618002604 | TX | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1456349828 | Practice locations: Pasadena, TX |
| O20240321001743 | TX | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1456349828 | Practice locations: Houston, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2000143 | Gulf Coast MRI & Diagnostic | Certificate of waiver | Sep 29, 2026 |
| 45D2000145 | Gulf Coast MRI & Diagnostic | Certificate of waiver | Mar 30, 2027 |
| 45D2028782 | Gulf Coast MRI & Diagnostic Scarsdale | Certificate of waiver | Aug 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
4001 W Sam Houston Pkwy N
Ste 100
Houston, TX 77043
Phone (713) 996-0900
8111 Southwest Fwy
Ste 100
Houston, TX 77074
Phone (713) 541-6111
3692 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-6736
3692 Fairmont Pkwy
Gulf Coast MRI Ctr Pasadena
Pasadena, TX 77504
Phone (281) 991-1674
Practitioners & affiliated clinicians
Practitioners 37
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Houston, TX
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- Diagnostic Radiology Physician
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- NPI 1437503232
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- Houston, TX
- NPI 1215181177
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1356324875
-
- Diagnostic Radiology Physician
- Pasadena, TX
- NPI 1598848285
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1972587111
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1104807528
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- Diagnostic Radiology Physician
- Houston, TX
- NPI 1811109895
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1356667547
-
- Cardiovascular Disease Physician
- Sugar Land, TX
- NPI 1902843949
-
- Diagnostic Radiology Physician
- Spring, TX
- NPI 1518958271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1609823822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 GEMINI ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770582702",
"telephone_number": "281-488-7226",
"fax_number": "281-488-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 GEMINI ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77058",
"telephone_number": "281-488-7226",
"fax_number": "281-488-2077"
}
],
"practiceLocations": [
{
"address_1": "3692 E Sam Houston Pkwy S",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "TX",
"postal_code": "775053137",
"country_code": "US",
"telephone_number": "281-991-1674",
"fax_number": "281-991-3800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11034 Scarsdale Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770895971",
"country_code": "US",
"telephone_number": "281-481-1935",
"fax_number": "281-481-1992",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GULF COAST MRI & DIAGNOSTICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "LATHAM",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "281-488-7226",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": "TX",
"license": "681367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093951401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Gulf Coast Eye Center Incorportated
- Gulf Coast Functional Testing
- Gulf Coast Heart Clinic PLLC
- Gulf Coast Lung Center, Inc.
- Gulf Coast Medical Logistics
- Gulf Coast Nephrology LLP
- Gulf Coast Neuropsychology, PLLC
- Gulf Coast Newborn Hearing Screening, LLC
- Gulf Coast Nursing Services, Inc.
- Gulf Coast Oncology Associates PA (University Cancer & Treatment Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.