Inland Diagnostic Imaging

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

INLAND DIAGNOSTIC IMAGING

Doing business as

rancho open mri

Practice address

9373 Haven Ave
Rancho Cucamonga, CA 91730-5341

Phone

(909) 476-4474

Fax

(909) 476-7363

NPI assigned

Sep 20, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fady Elalam

Title

Owner

Phone

(909) 699-0000

Specialties & licenses 1

Addresses

Other names 1

• rancho open mri Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003325283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9373 HAVEN AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305341",
            "telephone_number": "909-476-4474",
            "fax_number": "909-476-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9373 HAVEN AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305341",
            "telephone_number": "909-476-4474",
            "fax_number": "909-476-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND DIAGNOSTIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ELALAM",
        "authorized_official_first_name": "FADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-699-0000"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "rancho open mri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Imbach, MSW
• Imerx Medical Services Inc
• Immediacy Urgent Care Inc.
• Infinity Medical Agency LLC
• Inland Center Medical Group, P.C. (Inland Center Medical Group)
• Inland Empire Extra Care
• Inland Empire Extra Care Inc.
• Inland Empire Health Plan
• Inland Empire Medical Nertwork, Inc.
• Inland Empire Medical Network (Chaffey Medical Group)

• Radiology Clinic/Center in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.