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General NPI Number Information
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NPI Number | 1003210105
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Entity Type | Organization
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Legal Business Name | KINGSPOINT MEDICAL IMAGING, INC
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 14200 GULF FWY STE 102
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City | HOUSTON
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State | TX
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Zip | 77034-5361
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Country | US
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Telephone | 713-943-9933
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Fax | 713-943-1833
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Provider Business Mailing Address
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Address Line | 14200 GULF FWY STE 102
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City | HOUSTON
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State | TX
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Zip | 77034-5361
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Country | US
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Telephone | 713-943-9933
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Fax | 713-943-1833
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CELESTINE NDELE NGOLE
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Credential | RT
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Telephone | 832-766-3614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State |
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