NPIMap

Organization Active NPI

Origin Diagnostics LLC

  • Radiology Clinic/Center
  • Houston, TX
National Provider Identifier
1912802794
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ORIGIN DIAGNOSTICS LLC
Practice address
10761 Gulf Fwy Ste a
Houston, TX 77034-1857
Phone
(281) 899-0019
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Ali Mazloom
Title
Director
Phone
(346) 262-9601

Specialties & licenses 1

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

Addresses

Primary practice location

10761 Gulf Fwy Ste a
Houston, TX 77034-1857

Mailing address

9135 Katy Fwy Ste 102
Houston, TX 77024-1636

National Provider Directory

National Provider Directory
Tax ID family
Origin Diagnostics LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10761 Gulf Fwy
#A
Houston, TX 77034

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1912802794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 KATY FWY STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10761 GULF FWY STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770341857",
            "telephone_number": "281-899-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "MAZLOOM",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "346-262-9601"
    },
    "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 Oct 12, 2026; 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.