Organization
LONG LIFE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLISSA LEE RDCS (AE), RVT (VT) (OWNER)
(281) 865-0044
Entity
Organization
Contact information
Practice address
957 NASA PKWY # 1041, HOUSTON, TX 77058-3039
(346) 261-2341
Mailing address
957 NASA PKWY # 1041, HOUSTON, TX 77058-3039
(346) 261-2341
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
08/17/2022
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