Provider Demographics
NPI:1083932925
Name:ECHO ON-SITE MOBILE IMAGING, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ECHO ON-SITE MOBILE IMAGING, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:YALCIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HACIOGLU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-310-0722
Mailing Address - Street 1:11510 PRIVET PL
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9332
Mailing Address - Country:US
Mailing Address - Phone:661-310-0722
Mailing Address - Fax:661-200-5511
Practice Address - Street 1:11510 PRIVET PL
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9332
Practice Address - Country:US
Practice Address - Phone:661-310-0722
Practice Address - Fax:661-200-5511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-15
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA90677207RC0000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty