STATE DIAGNOSTIC CLINIC LLC NPI 1255684395

NPI Information

NPI: 1255684395
Provider Name: STATE DIAGNOSTIC CLINIC, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
13111 WESTHEIMER RD
SUITE #212
HOUSTON, TX
ZIP 77077
Phone: (832) 230-3804
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STATE DIAGNOSTIC CLINIC, LLC is a general practice in Houston, TX. STATE DIAGNOSTIC CLINIC, LLC NPI is 1255684395. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13111 WESTHEIMER RD
SUITE #212
HOUSTON, TX
ZIP 77077-546
Phone: (832) 230-3804
Fax: (832) 230-3839

The provider's authorized official is Essayas T Michael .
The authorized official title is Member and has the following contact phone number (202) 290-4282.

The enumeration date for this NPI number is 10/25/2012 and was last updated on 10/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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