Organization Name: | SCANQUEST IMAGING CORP. |
NPI Number: | 1073897807 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSE JOSE MINJARES (VICE PRESIDENT) |
Mailing Address: | 16415 Colorado Ave Ste 402 Paramount |
State: | CA US |
Postal Code: | 907235052 |
Phone Number: | 5622171244 |
Fax Number: | 5626336459 |
NPI Enumeration Date: | 09/28/2011 |
NPI Last Update Date: | 09/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |