| Organization Name: | IMAGING SERVICES ASSOCIATES LLC |
| NPI Number: | 1033298658 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT RAYMOND (CEO) |
| Mailing Address: | 4130 La Jolla Village Dr Suite 101 La Jolla |
| State: | CA US |
| Postal Code: | 920379121 |
| Phone Number: | 8582003300 |
| Fax Number: | 8582003301 |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 09/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | 200103010002 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |