{
"Npi": {
"NPI": "1073897807",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SCANQUEST IMAGING CORP.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "9457 OAK ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BELLFLOWER",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90706-5205",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "888-517-1326",
"MailingAddressFaxNumber": "562-633-6459",
"FirstLinePracticeLocationAddress": "16415 COLORADO AVE STE 402",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PARAMOUNT",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90723-5052",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "562-217-1244",
"PracticeLocationAddressFaxNumber": "562-633-6459",
"EnumerationDate": "09/28/2011",
"LastUpdateDate": "09/28/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MINJARES",
"AuthorizedOfficialFirstName": "JESSE",
"AuthorizedOfficialMiddleName": "JOSE",
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "562-217-1244",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR0200X",
"TaxonomyName": "Radiology Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}