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1508282401 NPI number — PACIFIC IMAGING ENTERPRISES, INC.

NPI Number: 1508282401
Health Care Provider/Practitioner: PACIFIC IMAGING ENTERPRISES, INC.

Information about “1508282401” NPI (PACIFIC IMAGING ENTERPRISES, INC.) exists in 1508282401 in HTML format HTML  |  1508282401 in plain Text format TXT  |  1508282401 in PDF (Portable Document Format) PDF  |  1508282401 in an XML format XML  formats.

NPI Number : 1508282401 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508282401",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PACIFIC IMAGING ENTERPRISES, INC.",
    "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": "19231 VICTORY BLVD",
    "SecondLineMailingAddress": "SUITE 153",
    "MailingAddressCityName": "RESEDA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91335-6308",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-654-6830",
    "MailingAddressFaxNumber": "818-654-6834",
    "FirstLinePracticeLocationAddress": "19231 VICTORY BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 153",
    "PracticeLocationAddressCityName": "RESEDA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91335-6308",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-654-6830",
    "PracticeLocationAddressFaxNumber": "818-654-6834",
    "EnumerationDate": "03/15/2014",
    "LastUpdateDate": "03/15/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EKTEFAIE",
    "AuthorizedOfficialFirstName": "SAM",
    "AuthorizedOfficialMiddleName": "S",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "818-636-3455",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM1200X",
        "TaxonomyName": "Magnetic Resonance Imaging (MRI) Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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