Provider Demographics
NPI:1093727901
Name:APPIAN IMAGING LLC
Entity Type:Organization
Organization Name:APPIAN IMAGING LLC
Other - Org Name:NORTHBAY MRI CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BRADSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-724-5500
Mailing Address - Street 1:PO BOX 907
Mailing Address - Street 2:
Mailing Address - City:PINOLE
Mailing Address - State:CA
Mailing Address - Zip Code:94564-0907
Mailing Address - Country:US
Mailing Address - Phone:510-724-5500
Mailing Address - Fax:510-724-3728
Practice Address - Street 1:2149 APPIAN WAY
Practice Address - Street 2:
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-2514
Practice Address - Country:US
Practice Address - Phone:510-724-5500
Practice Address - Fax:510-724-3728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ14600ZMedicare ID - Type UnspecifiedMEDICARE PROVER ID