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General NPI Number Information
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NPI Number | 1285745141
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Entity Type | Organization
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Legal Business Name | PASADENA MRI & DIAGNOSTIC LP
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 12/29/2017
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Provider Practice Location Address
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Address Line | 3692 E SAM HOUSTON PKWY S STE 200
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City | PASADENA
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State | TX
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Zip | 77505-3136
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Country | US
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Telephone | 281-991-1674
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Fax | 281-991-3800
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Provider Business Mailing Address
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Address Line | 1051 PINELOCH DR SUITE 175
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City | HOUSTON
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State | TX
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Zip | 77062-2742
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Country | US
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Telephone | 281-488-7226
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Fax | 281-488-2077
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES MICHAEL LATHAM
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Credential |
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Telephone | 281-488-7226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | R22530
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License Number State | TX
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