MEDICARE: HEALTH IMAGING PARTNERS, 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	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1295156867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH IMAGING PARTNERS, LLC

Provider Business Mailing Address
First Line	:	8610 EXPLORER DR
Second Line	:	SUITE #300
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-1058
Country	:	US
Telephone Number	:	719-955-4140
Fax Number	:	719-955-4148

Provider Business Practice Location Address
First Line	:	2911 OAK PARK CIR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-1893
Country	:	US
Telephone Number	:	817-923-6858
Fax Number	:	817-927-8886

Authorized Official
Title or Position	:	MANAGER
Name	:	JEFF R JONES
Credential	:
Telephone Number	:	719-955-4332

Provider Enumeration Date	:	12/26/2013
Last Update Date	:	05/11/2015

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