Provider Demographics
NPI:1871712836
Name:PRECISION DIAGNOSTIC IMAGING, INCORPORATED
Entity type:Organization
Organization Name:PRECISION DIAGNOSTIC IMAGING, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MINH
Authorized Official - Middle Name:Q
Authorized Official - Last Name:TA
Authorized Official - Suffix:
Authorized Official - Credentials:CNMT
Authorized Official - Phone:562-920-1805
Mailing Address - Street 1:17814 WOODRUFF AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-7000
Mailing Address - Country:US
Mailing Address - Phone:562-920-5292
Mailing Address - Fax:562-920-5847
Practice Address - Street 1:17814 WOODRUFF AVE STE 3
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-7000
Practice Address - Country:US
Practice Address - Phone:562-920-5292
Practice Address - Fax:562-920-5847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0381692471N0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471N0900XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNuclear Medicine TechnologyGroup - Single Specialty