Provider Demographics
NPI:1720529928
Name:LIFESCIENCES IMAGING PARTNERS, LLC
Entity Type:Organization
Organization Name:LIFESCIENCES IMAGING PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VELGOS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MSC
Authorized Official - Phone:713-933-0751
Mailing Address - Street 1:6808 HORNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-3608
Mailing Address - Country:US
Mailing Address - Phone:877-797-5433
Mailing Address - Fax:972-906-9631
Practice Address - Street 1:405 SH 121 BYP STE 150
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4147
Practice Address - Country:US
Practice Address - Phone:972-315-0362
Practice Address - Fax:972-906-9631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory