Provider Demographics
NPI:1659440055
Name:T2 IMAGING, INC.
Entity Type:Organization
Organization Name:T2 IMAGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:TABER
Authorized Official - Suffix:
Authorized Official - Credentials:RCS
Authorized Official - Phone:503-871-6574
Mailing Address - Street 1:407 LONEBROOK CT SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302
Mailing Address - Country:US
Mailing Address - Phone:503-871-6574
Mailing Address - Fax:
Practice Address - Street 1:407 LONEBROOK CT SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-5797
Practice Address - Country:US
Practice Address - Phone:503-871-6574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NATIONAL REGISTERY246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR26664601OtherCCR-TPIN(TRADING PARTNER)
OR11629286OtherOREGON BUSINESS ID