Provider Demographics
NPI:1477932689
Name:PIONEER DIAGNOSTIC & IMAGING
Entity Type:Organization
Organization Name:PIONEER DIAGNOSTIC & IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:SAMEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISRAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-413-0780
Mailing Address - Street 1:1050 MURRIETA BLVD STE 288
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4111
Mailing Address - Country:US
Mailing Address - Phone:877-470-7531
Mailing Address - Fax:
Practice Address - Street 1:939 N PLUM GROVE RD
Practice Address - Street 2:SUITE A
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5183
Practice Address - Country:US
Practice Address - Phone:877-470-7531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile