Healthcare Provider Details

I. General information

NPI: 1396166039
Provider Name (Legal Business Name): HEALTH IMAGING PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2013
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 PENNSYLVANIA AVE STE 101
FORT WORTH TX
76104-2117
US

IV. Provider business mailing address

8610 EXPLORER DR SUITE #300
COLORADO SPRINGS CO
80920-1058
US

V. Phone/Fax

Practice location:
  • Phone: 817-321-0300
  • Fax: 817-321-0399
Mailing address:
  • Phone: 719-955-4332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: ANDREW BENSON
Title or Position: CHIEF REVENUE OFFICER
Credential:
Phone: 719-955-4332