Origin Diagnostics LLC
NPI #1003799404 in Sugar Land, Texas
Provider Information
- NPI Number
- 1003799404
- Entity Type
- Organization
- Organization Name
- Origin Diagnostics LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Jul 31, 2025
- Last Updated
- Aug 8, 2025
Practice Location
- Address
- 17227 W GRAND PKWY S STE B
- City
- Sugar Land
- State
- Texas
- ZIP Code
- 77479-3689
- Phone
- (281) 899-0019
Authorized Official
- Name
- ALI MAZLOOM
- Title
- CEO
- Phone
- (832) 429-2216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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