Provider Demographics
NPI:1891031258
Name:M & M DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:M & M DIAGNOSTICS LLC
Other - Org Name:CHAMPIONS MRI
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEIGHANN
Authorized Official - Middle Name:
Authorized Official - Last Name:FAHID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-397-6700
Mailing Address - Street 1:PO BOX 19038
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77224-9038
Mailing Address - Country:US
Mailing Address - Phone:281-397-6700
Mailing Address - Fax:
Practice Address - Street 1:14405 WALTERS RD STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1493
Practice Address - Country:US
Practice Address - Phone:281-397-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology