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NPI Code Detail

MEDICARE: MY CHOICE IMAGING, LLC

MEDICARE: MY CHOICE IMAGING, 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
12085R0202XDiagnostic Radiology Physician
2261QR0200XRadiology Clinic/Center
3261QR0206XMammography Clinic/Center

General Provider Information

NPI Number : 1841071040
Entity Type Code : Organization
Provider Name (Legal Business Name) : MY CHOICE IMAGING, LLC
Provider Business Mailing Address
First Line : 2129 FM 2920 RD # 190-279
Second Line :
City : SPRING
State : TX
Zip : 77388-3671
Country : US
Telephone Number : 281-669-6310
Fax Number :
Provider Business Practice Location Address
First Line : 300 E HOUSTON ST STE B
Second Line :
City : CLEVELAND
State : TX
Zip : 77327-4554
Country : US
Telephone Number : 281-669-6310
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. MATTHEW READ
Credential :
Telephone Number : 281-592-9777
Provider Enumeration Date : 10/12/2023
Last Update Date : 12/10/2024

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Directions to “MY CHOICE IMAGING, LLC ” Practice Location

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