Provider Demographics
NPI:1891391942
Name:LIVE HEALTHY IMAGING LLC
Entity type:Organization
Organization Name:LIVE HEALTHY IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CHEONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-858-4546
Mailing Address - Street 1:6565 WEST LOOP S STE 100
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3504
Mailing Address - Country:US
Mailing Address - Phone:832-641-0025
Mailing Address - Fax:832-895-7398
Practice Address - Street 1:6565 WEST LOOP S STE 100
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3504
Practice Address - Country:US
Practice Address - Phone:832-344-3512
Practice Address - Fax:832-821-9038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-04
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)Group - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty