Precision Diagnostic Imaging, Incorporated

Primary specialty

Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X

License

038169 Issued in CA

Legal business name

PRECISION DIAGNOSTIC IMAGING, INCORPORATED

Practice address

17814 Woodruff Ave Ste 3
Bellflower, CA 90706-7000

Phone

(562) 920-5292

Fax

(562) 920-5847

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Minh Q Ta, CNMT

Title

President

Phone

(562) 920-1805

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1871712836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17814 WOODRUFF AVE STE 3",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907067000",
            "telephone_number": "562-920-5292",
            "fax_number": "562-920-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17814 WOODRUFF AVE STE 3",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907067000",
            "telephone_number": "562-920-5292",
            "fax_number": "562-920-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DIAGNOSTIC IMAGING, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "TA",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-920-1805",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNMT"
    },
    "taxonomies": [
        {
            "code": "2471N0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "CA",
            "license": "038169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Emilia Portillo, LMFT
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• Radiologic Technologist in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.