Provider Demographics
NPI:1629378328
Name:SLMC, INC.
Entity Type:Organization
Organization Name:SLMC, INC.
Other - Org Name:SPINAL IMAGING SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHAVERS
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:714-743-8044
Mailing Address - Street 1:P.O. BOX 3022
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-3022
Mailing Address - Country:US
Mailing Address - Phone:714-743-8044
Mailing Address - Fax:
Practice Address - Street 1:6060 PARK CREST DR
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-6315
Practice Address - Country:US
Practice Address - Phone:714-743-8044
Practice Address - Fax:909-393-8366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier