Provider Demographics
NPI:1083101620
Name:UNITED MEDICAL IMAGING HEALTHCARE, INC.
Entity Type:Organization
Organization Name:UNITED MEDICAL IMAGING HEALTHCARE, INC.
Other - Org Name:UMI OF ANAHEIM-HCP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIAL ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-943-8400
Mailing Address - Street 1:PO BOX 491149
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-9149
Mailing Address - Country:US
Mailing Address - Phone:310-943-8400
Mailing Address - Fax:
Practice Address - Street 1:1236 N MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-2607
Practice Address - Country:US
Practice Address - Phone:714-947-5111
Practice Address - Fax:714-947-5990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-19
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology