Provider Demographics
NPI:1871797761
Name:FOREST IMAGING, INC.
Entity type:Organization
Organization Name:FOREST IMAGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:619-218-6460
Mailing Address - Street 1:5288 EASTGATE MALL
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-2835
Mailing Address - Country:US
Mailing Address - Phone:858-622-0792
Mailing Address - Fax:858-866-0760
Practice Address - Street 1:70 CLIFF MANOR LN
Practice Address - Street 2:
Practice Address - City:GALLATIN GATEWAY
Practice Address - State:MT
Practice Address - Zip Code:59730-9746
Practice Address - Country:US
Practice Address - Phone:619-218-6460
Practice Address - Fax:858-866-0760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiographyGroup - Single Specialty