Healthcare Provider Details

I. General information

NPI: 1154377661
Provider Name (Legal Business Name): MEDICAL IMAGING PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 03/26/2020
Certification Date: 03/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

638 W DUARTE RD #2
ARCADIA CA
91007-7616
US

IV. Provider business mailing address

638 W DUARTE RD #2
ARCADIA CA
91007-7616
US

V. Phone/Fax

Practice location:
  • Phone: 626-446-0080
  • Fax: 626-446-0262
Mailing address:
  • Phone: 626-446-0080
  • Fax: 626-446-0262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. MARY E MORRISSEY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 626-446-0080