Healthcare Provider Details
I. General information
NPI: 1477670438
Provider Name (Legal Business Name): IMAGING ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/23/2007
Last Update Date: 04/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
208 W MAIN ST
VISALIA CA
93291-6212
US
IV. Provider business mailing address
208 W MAIN ST
VISALIA CA
93291-6212
US
V. Phone/Fax
- Phone: 559-733-4699
- Fax: 559-733-4699
- Phone: 559-733-4699
- Fax: 559-733-4699
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2471N0900X |
| Taxonomy | Nuclear Medicine Technology Radiologic Technologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2471S1302X |
| Taxonomy | Sonography Radiologic Technologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WENDY
THORBUS
Title or Position: CFO
Credential:
Phone: 559-804-6395