Organization Active NPI

Inland Empire Medical Imaging LLC

  • Radiology Clinic/Center
  • San Bernardino, CA
National Provider Identifier
1528174273
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
INLAND EMPIRE MEDICAL IMAGING LLC
Practice address
225 West Hospitality Lane
Suite 100a
San Bernardino, CA 92408
Phone
(909) 890-5856
Fax
(909) 890-5725
NPI assigned
Aug 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Arthur Edward Quillo
Title
Ceo President
Phone
(949) 250-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

225 West Hospitality Lane
Suite 100a
San Bernardino, CA 92408

Mailing address

PO Box 10609
Burbank, CA 91510-0609
Phone (818) 526-0200

National Provider Directory

National Provider Directory

Locations

225 W Hospitality Ln
Ste 100A
San Bernardino, CA 92408
Phone (909) 890-5856

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528174273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10609",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915100609",
            "telephone_number": "818-526-0200",
            "fax_number": "818-526-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WEST HOSPITALITY LANE",
            "address_2": "SUITE 100A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92408",
            "telephone_number": "909-890-5856",
            "fax_number": "909-890-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EMPIRE MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUILLO",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "949-250-4500"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.