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General NPI Number Information
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NPI Number | 1053322479
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Entity Type | Organization
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Legal Business Name | INFINITY MRI & DIAGNOSTICS - ILP
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1718 N FRY ROAD SUITE 100A
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City | HOUSTON
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State | TX
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Zip | 77084
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Country | US
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Telephone | 281-579-2991
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Fax | 281-579-2182
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Provider Business Mailing Address
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Address Line | 1718 N FRY ROAD #100A
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City | HOUSTON
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State | TX
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Zip | 77084
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Country | US
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Telephone | 281-579-2991
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Fax | 281-579-2182
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Authorized Official
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Title or Position | CEO
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Name | CHRISTY H GODBY
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Credential |
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Telephone | 218-579-2991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | R28699
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License Number State | TX
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