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General NPI Number Information
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NPI Number | 1689377947
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Entity Type | Organization
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Legal Business Name | EXPRESS DIAGNOSTIC IMAGING
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Dates
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Enumeration Date | 03/24/2023
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 16281 IMPERIAL VALLEY DR STE K
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City | HOUSTON
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State | TX
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Zip | 77060-3582
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Country | US
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Telephone | 404-775-3232
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Fax | 678-999-8218
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Provider Business Mailing Address
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Address Line | 2760 PEBBLE HILL TRCE
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City | DULUTH
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State | GA
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Zip | 30097-4381
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MIRZA W AHMED
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Credential | MD
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Telephone | 404-775-3232
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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 |
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License Number State |
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