Organization Active NPI

Long Life Imaging, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Houston, TX
National Provider Identifier
1245759141
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
LONG LIFE IMAGING, LLC
Practice address
957 Nasa Pkwy # 1041
Houston, TX 77058-3039
Phone
(346) 261-2341
NPI assigned
Sep 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mallissa Lee, RDCS (AE), RVT (VT)NPI 1720510902
Title
Owner
Phone
(281) 865-0044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

957 Nasa Pkwy # 1041
Houston, TX 77058-3039

Mailing address

957 Nasa Pkwy # 1041
Houston, TX 77058-3039
Phone (346) 261-2341

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1245759141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 NASA PKWY # 1041",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583039",
            "telephone_number": "346-261-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 NASA PKWY # 1041",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583039",
            "telephone_number": "346-261-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG LIFE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-08-17",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MALLISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-865-0044",
        "authorized_official_credential": "RDCS (AE), RVT (VT)"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.