Provider Demographics
NPI:1669814273
Name:SUN IMAGING ASSOCIATES PLC
Entity Type:Organization
Organization Name:SUN IMAGING ASSOCIATES PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MANNTEJ
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-344-5450
Mailing Address - Street 1:13943 N 91ST AVE
Mailing Address - Street 2:SUITE A 102
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-3629
Mailing Address - Country:US
Mailing Address - Phone:623-344-5450
Mailing Address - Fax:
Practice Address - Street 1:3342 TERRACE RIDGE LN
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-1203
Practice Address - Country:US
Practice Address - Phone:562-810-9377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty