Provider Demographics
NPI:1083608541
Name:AFFILIATES IN IMAGING, A MEDICAL GROUP INC
Entity Type:Organization
Organization Name:AFFILIATES IN IMAGING, A MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:ARULIAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-274-4950
Mailing Address - Street 1:411 30TH ST
Mailing Address - Street 2:#508
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3310
Mailing Address - Country:US
Mailing Address - Phone:925-274-4950
Mailing Address - Fax:925-274-4975
Practice Address - Street 1:411 30TH ST
Practice Address - Street 2:#508
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3310
Practice Address - Country:US
Practice Address - Phone:925-274-4950
Practice Address - Fax:925-274-4975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-09
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ21259ZMedicare PIN
CAZZZ05832ZMedicare PIN
CAZZZ21263ZMedicare PIN