Provider Demographics
NPI:1659469997
Name:XATIS CORP.
Entity Type:Organization
Organization Name:XATIS CORP.
Other - Org Name:ALLSTATE MEDICAL IMAGING
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:DELELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-328-0213
Mailing Address - Street 1:21081 S WESTERN AVE
Mailing Address - Street 2:SUITE # 195
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-1703
Mailing Address - Country:US
Mailing Address - Phone:310-328-0213
Mailing Address - Fax:310-328-9068
Practice Address - Street 1:21081 S WESTERN AVE
Practice Address - Street 2:SUITE # 195
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-1703
Practice Address - Country:US
Practice Address - Phone:310-328-0213
Practice Address - Fax:310-328-9068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty