Tiny Impressions LLC

NPI #1902312028 in Longview, Texas

Provider Information

NPI Number: 1902312028
Entity Type: Organization
Organization Name: Tiny Impressions LLC
Primary Specialty: Radiologic Technologist - Sonography
Enumeration Date: Dec 27, 2017
Last Updated: Jun 11, 2019

Practice Location

Address: 101 W HAWKINS PKWY STE 2
City: Longview
State: Texas
ZIP Code: 75605-1833
Phone: (903) 663-6800

Authorized Official

Name: LOREN HOLLEY
Title: VICE PRESIDENT
Phone: (903) 663-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist Cardiovascular - Sonography — Sonography	246XS1301X
Radiologic Technologist - Vascular Sonography — Vascular Sonography	2471V0105X
Radiologic Technologist - Sonography — Sonography	2471S1302X	Primary

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