Atlas Imaging, L.L.C.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

ATLAS IMAGING, L.L.C.

Practice address

9619 Blanchard Ave
Fontana, CA 92335-5811

Phone

(909) 900-7204

NPI assigned

Sep 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Paula Kendra Pronia-Bradley

Title

President

Phone

(909) 900-7204

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1306033840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9619 BLANCHARD AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923355811",
            "telephone_number": "909-900-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9619 BLANCHARD AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923355811",
            "telephone_number": "909-900-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS IMAGING, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "PRONIA-BRADLEY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "KENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-900-7204",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Fontana, CA
• Providers in Fontana, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.