| Organization Name: | GLENDALE MEDICAL IMAGING ASSOCIATES INC |
| NPI Number: | 1639349814 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES LILLEY (PRESIDENT/RADIOLOGIST) |
| Mailing Address: | 200 N Maryland Ave Suite 100 Glendale |
| State: | CA US |
| Postal Code: | 912064262 |
| Phone Number: | 8182472095 |
| Fax Number: | 8182417278 |
| NPI Enumeration Date: | 03/04/2008 |
| NPI Last Update Date: | 03/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |