MEMORIAL MRI & DIAGNOSTIC LLC NPI 1447341797

NPI Information

NPI: 1447341797
Provider Name: MEMORIAL MRI & DIAGNOSTIC, LLC
Classification: Radiology - 2085N0904X
Specialization: Nuclear Radiology
Entity Type: Organization
Doing Business As: MEMORIAL NUCLEAR IMAGING
CLIA Number: 45D1097089
Address: 8800 KATY FWY STE 105
HOUSTON, TX
ZIP 77024
Phone: (713) 461-3399

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NPI Details

MEMORIAL MRI & DIAGNOSTIC, LLC is a nuclear radiology radiology in Houston, TX. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. MEMORIAL MRI & DIAGNOSTIC, LLC NPI is 1447341797. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Memorial Nuclear Imaging.

The provider's business location address is:

8800 KATY FWY STE 105
HOUSTON, TX
ZIP 77024-645
Phone: (713) 461-3399
Fax: (713) 461-1969

The provider's authorized official is Jorrie Fatheree .
The authorized official title is Manager and has the following contact phone number (713) 461-3399.

The CLIA number assigned to this NPI record is 45D1097089 - other - diagnostic imaging with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 7/26/2019.

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	207U00000X	Nuclear Medicine		L05997	TEXAS	No
2	207UN0901X	Nuclear Medicine	Nuclear Cardiology	L05997	TEXAS	No
3	207UN0902X	Nuclear Medicine	Nuclear Imaging & Therapy	L05997	TEXAS	No
4	207UN0903X	Nuclear Medicine	In Vivo & In Vitro Nuclear Medicine	L05997	TEXAS	No
5	2085R0202X	Radiology	Diagnostic Radiology	L05997	TEXAS	No
6	2085N0904X	Radiology	Nuclear Radiology	L05997	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0203DC	OTHER	TEXAS	BLUE CROSS, BLUE SHIELD
2	153985002	MEDICAID	TEXAS

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: 11/21/2025

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