MEDICARE: MEDICAL IMAGING PARTNERS

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	261QR0200X	Radiology Clinic/Center
2	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	470000966	OTHER	CA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ612542	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1154377661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL IMAGING PARTNERS

Provider Business Mailing Address
First Line	:	638 W DUARTE RD
Second Line	:	#2
City	:	ARCADIA
State	:	CA
Zip	:	91007-7616
Country	:	US
Telephone Number	:	626-446-0080
Fax Number	:	626-446-0262

Provider Business Practice Location Address
First Line	:	638 W DUARTE RD
Second Line	:	#2
City	:	ARCADIA
State	:	CA
Zip	:	91007-7616
Country	:	US
Telephone Number	:	626-446-0080
Fax Number	:	626-446-0262

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. MARY E MORRISSEY
Credential	:
Telephone Number	:	626-446-0080

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	03/26/2020

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Directions to “MEDICAL IMAGING PARTNERS ” Practice Location

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