Provider Demographics
NPI:1164452736
Name:RADIOLOGY ASSOCIATES, INC.
Entity Type:Organization
Organization Name:RADIOLOGY ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR REVENUE CYCLE MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CHALTRAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-302-7771
Mailing Address - Street 1:PO BOX 26570
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-6570
Mailing Address - Country:US
Mailing Address - Phone:559-455-4000
Mailing Address - Fax:
Practice Address - Street 1:445 HARLOW RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-1340
Practice Address - Country:US
Practice Address - Phone:541-681-8586
Practice Address - Fax:541-681-8587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORMDG34ORMedicaid
OR135298Medicare PIN
AK161045Medicare PIN
ORMDG34ORMedicaid