Provider Demographics
NPI:1952542821
Name:HEALTHY IMAGES MOBILE SCANNING, LLC
Entity Type:Organization
Organization Name:HEALTHY IMAGES MOBILE SCANNING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:NIEMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-992-7713
Mailing Address - Street 1:PO BOX 1646
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-1646
Mailing Address - Country:US
Mailing Address - Phone:888-750-1714
Mailing Address - Fax:254-399-0702
Practice Address - Street 1:1760 FM 967
Practice Address - Street 2:SUITE 200
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-2884
Practice Address - Country:US
Practice Address - Phone:888-750-1714
Practice Address - Fax:254-399-0702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18384293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory