Provider Demographics
NPI:1821457805
Name:PHYSICIAN IMAGING SOLUTIONS INC
Entity Type:Organization
Organization Name:PHYSICIAN IMAGING SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DYBCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-362-2707
Mailing Address - Street 1:1000 EAGLE RIDGE DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-4207
Mailing Address - Country:US
Mailing Address - Phone:219-322-6301
Mailing Address - Fax:
Practice Address - Street 1:1000 EAGLE RIDGE DR
Practice Address - Street 2:SUITE F
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-4207
Practice Address - Country:US
Practice Address - Phone:219-322-6301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-18
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier