Organization Name: | UNIVERSAL MRI AND DIAGNOSTICS INC |
NPI Number: | 1033164041 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETH E DEL VALLE (VICE PRESIDENT) |
Mailing Address: | 200 River Pointe Dr. #130 Conroe |
State: | TX US |
Postal Code: | 773042814 |
Phone Number: | 9367563388 |
Fax Number: | 9367563630 |
NPI Enumeration Date: | 05/24/2006 |
NPI Last Update Date: | 01/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |