Healthcare Provider Details

I. General information

NPI: 1700304193
Provider Name (Legal Business Name): ALLIED IMAGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2017
Last Update Date: 09/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

738 BARCHESTER DR
SAN ANTONIO TX
78216-6121
US

IV. Provider business mailing address

5563 DE ZAVALA RD STE 130
SAN ANTONIO TX
78249-1736
US

V. Phone/Fax

Practice location:
  • Phone: 210-200-8981
  • Fax: 210-944-1110
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ROSE RAIMONDO
Title or Position: VICE PRESIDENT/COO
Credential:
Phone: 210-200-8981