Organization Name: | IMTEK SERVICES, LLC |
NPI Number: | 1609829290 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL P BELICK (C.E.O.) |
Mailing Address: | 3301 El Camino Real Suite 100 Atherton |
State: | CA US |
Postal Code: | 940273812 |
Phone Number: | 6503643080 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 03/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |