Provider Demographics
NPI:1235300476
Name:ACCU SCAN DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:ACCU SCAN DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ELMER
Authorized Official - Middle Name:OAMIL
Authorized Official - Last Name:RALLECA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-390-1039
Mailing Address - Street 1:23343 TIMBERLANE DR
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-1471
Mailing Address - Country:US
Mailing Address - Phone:661-297-5714
Mailing Address - Fax:
Practice Address - Street 1:12737 GLENOAKS BLVD STE 26
Practice Address - Street 2:
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-4776
Practice Address - Country:US
Practice Address - Phone:661-297-5714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-16
Last Update Date:2008-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0207XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile Mammography