Healthcare Provider Details

I. General information

NPI: 1164452736
Provider Name (Legal Business Name): RADIOLOGY ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/15/2022
Certification Date: 07/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 HARLOW RD
SPRINGFIELD OR
97477-1340
US

IV. Provider business mailing address

PO BOX 26570
FRESNO CA
93729-6570
US

V. Phone/Fax

Practice location:
  • Phone: 541-681-8586
  • Fax: 541-681-8587
Mailing address:
  • Phone: 559-455-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DENNIS JAMES CHALTRAW
Title or Position: DIRECTOR REVENUE CYCLE MANAGEMENT
Credential:
Phone: 541-302-7771