# LONG LIFE IMAGING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245759141
- **Authorized official:** MALLISSA LEE RDCS (AE), RVT (VT) (OWNER)
- **Authorized official phone:** (281) 865-0044

## Contact information

- **Practice address:** 957 NASA PKWY \# 1041, HOUSTON, TX 77058-3039
- **Practice address phone:** (346) 261-2341
- **Mailing address:** 957 NASA PKWY \# 1041, HOUSTON, TX 77058-3039
- **Mailing address phone:** (346) 261-2341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2017
- **Last updated:** 08/17/2022