MEDICARE: LONG LIFE IMAGING, LLC

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	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

General Provider Information

NPI Number	:	1245759141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONG LIFE IMAGING, LLC

Provider Business Mailing Address
First Line	:	957 NASA PKWY # 1041
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3039
Country	:	US
Telephone Number	:	346-261-2341
Fax Number	:

Provider Business Practice Location Address
First Line	:	957 NASA PKWY # 1041
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3039
Country	:	US
Telephone Number	:	346-261-2341
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MALLISSA LEE
Credential	:	RDCS (AE), RVT (VT)
Telephone Number	:	281-865-0044

Provider Enumeration Date	:	09/12/2017
Last Update Date	:	08/17/2022

Similar Medicare Providers

1821109125 — DR. VIVIAN LEANNA JENNINGS-MILLER PHD, LCSW
Practice Location Address:

957 NASA PKWY # 1047
HOUSTON, TX
77058-3039

Practice Phone: 281-819-0398
Practice Fax:

1306095773 — TRIMED MANAGEMENT SERVICES LLC
Practice Location Address:

957 NASA PKWY # 513
HOUSTON, TX
77058-3039

Practice Phone: 832-425-9448
Practice Fax:

1629418025 — DR. SEGUN PATRICK ADEOYE MD
Practice Location Address:

985 NASA PKWY
HOUSTON, TX
77058-3039

Practice Phone: 281-218-6777
Practice Fax:

1740661453 — NASA HEALTH CLINIC
Practice Location Address:

985 NASA PKWY
HOUSTON, TX
77058-3039

Practice Phone: 713-893-6214
Practice Fax:

1821542432 — NASA URGENT CARE INC.
Practice Location Address:

985 NASA PKWY
HOUSTON, TX
77058-3039

Practice Phone: 713-893-6214
Practice Fax: 800-708-5070

1801341201 — MALVIKA GOYEL
Practice Location Address:

985 NASA PKWY
HOUSTON, TX
77058-3039

Practice Phone: 281-218-6777
Practice Fax: 866-665-6208

1841730025 — MRS. ANNA KATHERINE SPENCER RD, LD
Practice Location Address:

957 NASA PKWY # 2220
HOUSTON, TX
77058-3039

Practice Phone: 903-714-3817
Practice Fax:

Directions to “LONG LIFE IMAGING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.