MEDICARE: HEIGHTS MEDICAL IMAGING LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center
2	2085R0202X	Diagnostic Radiology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	002079	OTHER	TX	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174561427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEIGHTS MEDICAL IMAGING LLP

Provider Business Mailing Address
First Line	:	3200 WILCREST DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-6030
Country	:	US
Telephone Number	:	713-432-1100
Fax Number	:	713-512-2330

Provider Business Practice Location Address
First Line	:	427 W 20TH ST STE 401
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-2430
Country	:	US
Telephone Number	:	713-869-6296
Fax Number	:	713-869-5612

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. ALI SALEHI
Credential	:	M.D.
Telephone Number	:	713-869-6291

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	11/06/2014

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Directions to “HEIGHTS MEDICAL IMAGING LLP ” Practice Location

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