MEDICARE: RJ IMAGING INC

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	261QR0207X	Mobile Mammography Clinic/Center

General Provider Information

NPI Number	:	1477012292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RJ IMAGING INC

Provider Business Mailing Address
First Line	:	24355 LYONS AVE STE 230
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91321-2388
Country	:	US
Telephone Number	:	661-753-3654
Fax Number	:

Provider Business Practice Location Address
First Line	:	24355 LYONS AVE STE 230
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91321-2388
Country	:	US
Telephone Number	:	661-753-3654
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ROSANNA G RAMOS
Credential	:	SONOGRAPHER
Telephone Number	:	818-823-0713

Provider Enumeration Date	:	03/19/2019
Last Update Date	:	08/06/2023

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