Healthcare Provider Details

I. General information

NPI: 1578574273
Provider Name (Legal Business Name): ADVANCED MEDICAL IMAGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 02/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6297 N FRESNO ST
FRESNO CA
93710-5209
US

IV. Provider business mailing address

6297 N FRESNO ST
FRESNO CA
93710-5209
US

V. Phone/Fax

Practice location:
  • Phone: 559-447-4000
  • Fax:
Mailing address:
  • Phone: 559-447-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. FRANK CHANG
Title or Position: TREASURER
Credential: M.D.
Phone: 559-447-4000