Provider Demographics
NPI:1407906894
Name:EXPERT IMAGING INC
Entity Type:Organization
Organization Name:EXPERT IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-241-4261
Mailing Address - Street 1:1336 N MOORPARK RD
Mailing Address - Street 2:# 103
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-5224
Mailing Address - Country:US
Mailing Address - Phone:805-241-4261
Mailing Address - Fax:805-277-7826
Practice Address - Street 1:2593 LA PALOMA CIR
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-1533
Practice Address - Country:US
Practice Address - Phone:805-241-4261
Practice Address - Fax:805-277-7826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory