| Organization Name: | INNER REFLECTIONS IMAGING AND STAFFING SERVICES LP |
| NPI Number: | 1043358674 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JED GEPPERT PADRE (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 12836 Arabella St Cerritos |
| State: | CA US |
| Postal Code: | 907036001 |
| Phone Number: | 5628819147 |
| Fax Number: | 5629248869 |
| NPI Enumeration Date: | 02/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |