MEDICARE: INTEGRATED MRI & DIAGNOSTIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center
2	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1417134974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED MRI & DIAGNOSTIC LLC

Provider Business Mailing Address
First Line	:	1051 PINELOCH DR
Second Line	:	SUITE 175
City	:	HOUSTON
State	:	TX
Zip	:	77062-2742
Country	:	US
Telephone Number	:	281-488-7226
Fax Number	:	281-488-2077

Provider Business Practice Location Address
First Line	:	1051 PINELOCH DR
Second Line	:	SUITE 175
City	:	HOUSTON
State	:	TX
Zip	:	77062-2742
Country	:	US
Telephone Number	:	281-488-7226
Fax Number	:	281-488-2077

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JAMES MICHAEL LATHAM
Credential	:
Telephone Number	:	281-488-7226

Provider Enumeration Date	:	01/28/2008
Last Update Date	:	01/28/2008

Similar Medicare Providers

1700870615 — RAHN HALL MD
Practice Location Address:

1051 PINELOCH DR , STE 600
HOUSTON, TX
77062-2742

Practice Phone: 281-604-1300
Practice Fax: 281-604-1446

1598754103 — DR. ANTHONY STEPHEN MELILLO M.D.
Practice Location Address:

1051 PINELOCH DR , SUITE 100
HOUSTON, TX
77062-2742

Practice Phone: 281-286-3500
Practice Fax: 281-286-3553

1457433757 — REBECCA A GRIMALDO R.N., FNP-C
Practice Location Address:

1051 PINELOCH DR , SUITE 600
HOUSTON, TX
77062-2742

Practice Phone: 281-990-9979
Practice Fax: 281-990-9916

1457427890 — DR. JAMES MITCHELL FOSTER DDS
Practice Location Address:

1051 PINELOCH DR
HOUSTON, TX
77062-2742

Practice Phone: 281-488-2279
Practice Fax: 281-488-2279

1457576910 — BAY OAKS ORTHOPAEDICS & SPORTS MEDICINE, P.A.
Practice Location Address:

1051 PINELOCH DR , SUITE 100
HOUSTON, TX
77062-2742

Practice Phone: 281-286-3500
Practice Fax: 281-286-3553

1265666754 — PINELOCH EMERGENCY CARE
Practice Location Address:

1051 PINELOCH DR , STE 700
HOUSTON, TX
77062-2742

Practice Phone: 281-990-9979
Practice Fax:

Directions to “INTEGRATED MRI & DIAGNOSTIC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.