Active NPI
Livingston MRI, LLP
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Livingston, TX
National Provider Identifier
1962455378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- LIVINGSTON MRI, LLP
- Practice address
- 300 Bypass Lane #208
Livingston, TX 77351 - Phone
- (936) 329-6288
- Fax
- (936) 329-6289
- NPI assigned
- May 18, 2006
- Organization subpart
- Yes
- Parent organization
- LIVINGSTON MRI LLP DBA LIVINGSTON DIAGNOSTICS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Deloach, D.O.
- Title
- Managing Partner
- Phone
- (936) 329-6288
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | J5728 | TX | |
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
300 Bypass Lane #208
Livingston, TX 77351
Mailing address
PO Box 9815
The Woodlands, TX 77387
Phone (281) 681-8040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730020-01 | Medicaid | TX |
Other names 1
- Livingston Diagnostics
National Provider Directory
National Provider Directory- Part of
- Chopra Imaging Centers Inc
Locations
4301 Vista Rd
Ste 1001
Pasadena, TX 77504
Phone (713) 947-0560
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1285733956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233014400000",
"number": "1962455378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9815",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77387",
"telephone_number": "281-681-8040",
"fax_number": "281-296-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BYPASS LANE #208",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "77351",
"telephone_number": "936-329-6288",
"fax_number": "936-329-6289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVINGSTON MRI, LLP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIVINGSTON MRI LLP DBA LIVINGSTON DIAGNOSTICS",
"enumeration_date": "2006-05-18",
"last_updated": "2009-01-27",
"status": "A",
"authorized_official_last_name": "DELOACH",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "936-329-6288",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "TX",
"license": "J5728",
"primary": false
},
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730020-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Livingston Diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Livingston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.