Organization Active NPI

Origin Imaging & Diagnostics LLC

  • Radiology Clinic/Center
  • Houston, TX
National Provider Identifier
1821603580
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ORIGIN IMAGING & DIAGNOSTICS LLC
Practice address
9135 Katy Fwy Ste 102
Houston, TX 77024-1636
Phone
(832) 655-4846
NPI assigned
Sep 10, 2020
Last updated
Nov 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Ali MazloomNPI 1962794560
Title
Manager
Phone
(832) 982-0845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

9135 Katy Fwy Ste 102
Houston, TX 77024-1636

Mailing address

PO Box 6257
Longview, TX 75608-6257
Phone (832) 982-0845

National Provider Directory

National Provider Directory
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.

Locations

9135 Katy Fwy
Ste 102
Houston, TX 77024
Phone (832) 429-2216

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1821603580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6257",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756086257",
            "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": "9135 KATY FWY STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241636",
            "telephone_number": "832-655-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN IMAGING & DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "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": "MANAGER",
        "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": []
}

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 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.