Provider Demographics
NPI:1467925016
Name:PLUS IMAGING LLC
Entity Type:Organization
Organization Name:PLUS IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:POYA
Authorized Official - Middle Name:
Authorized Official - Last Name:YAGHOUBIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-370-5095
Mailing Address - Street 1:9555 FOOTHILL BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3576
Mailing Address - Country:US
Mailing Address - Phone:818-370-5095
Mailing Address - Fax:
Practice Address - Street 1:9555 FOOTHILL BLVD STE A
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3576
Practice Address - Country:US
Practice Address - Phone:818-370-5095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-07
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
No261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology