Organization Active NPI

Lifesciences Imaging Partners, LLC

  • Physiological Laboratory
  • Lewisville, TX
National Provider Identifier
1720529928
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
LIFESCIENCES IMAGING PARTNERS, LLC
Practice address
405 SH 121 Byp Ste 150
Lewisville, TX 75067-4147
Phone
(972) 315-0362
Fax
(972) 906-9631
NPI assigned
Mar 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Dr. Stefanie Velgos, PHD, M.SC
Title
Clinical Director
Phone
(713) 933-0751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

405 SH 121 Byp Ste 150
Lewisville, TX 75067-4147

Mailing address

6808 Hornwood Dr
Houston, TX 77074-3608
Phone (877) 797-5433

Other practice location 1

7927 Cypress Creek Pkwy Ste 100
Houston, TX 77070-5707
Phone (877) 797-5433

Other practice location 2

7205 Fannin St Ste 110A
Houston, TX 77030-4886
Phone (877) 797-5433

Other practice location 3

3120 W Southlake Blvd Ste 140
Southlake, TX 76092-6899
Phone (817) 741-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20180619001444 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2163777921 Practice locations: Southlake, TX
O20220920001503 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2163777921 Practice locations: Lewisville, TX
O20231024002503 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2163777921 Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2341212Smi Imaging, LLC Dba Simonmed Imaging -7927 Cypress Creek Pkwy Suite 100, Houston, TX 77070Certificate of waiverMar 29, 2028

National Provider Directory

National Provider Directory

Locations

7927 Cypress Creek Pkwy
Ste 100
Houston, TX 77070
Phone (877) 797-5433

7927 FM 1960 Rd W
Ste 100
Houston, TX 77070

6808 Hornwood Dr
Houston, TX 77074
Phone (281) 808-1844

405 State Highway 121 Byp
Ste 150A
Lewisville, TX 75067

3120 W Southlake Blvd
Ofc
Southlake, TX 76092
Phone (817) 741-0808

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1720529928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 HORNWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770743608",
            "telephone_number": "877-797-5433",
            "fax_number": "972-906-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SH 121 BYP STE 150",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674147",
            "telephone_number": "972-315-0362",
            "fax_number": "972-906-9631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7927 Cypress Creek Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770705707",
            "country_code": "US",
            "telephone_number": "877-797-5433",
            "fax_number": "972-906-9631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7205 Fannin St Ste 110A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770304886",
            "country_code": "US",
            "telephone_number": "877-797-5433",
            "fax_number": "972-906-9631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3120 W Southlake Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926899",
            "country_code": "US",
            "telephone_number": "817-741-0808",
            "fax_number": "817-741-0841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFESCIENCES IMAGING PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "VELGOS",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "713-933-0751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, M.SC"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.