Provider Demographics
NPI:1881826204
Name:TRUE PROFESSIONAL IMAGING CENTER INC
Entity Type:Organization
Organization Name:TRUE PROFESSIONAL IMAGING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RADIOLOGIST/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STANTON
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:KREMSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-899-8934
Mailing Address - Street 1:250 HOSPITAL CIR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3953
Mailing Address - Country:US
Mailing Address - Phone:714-899-3498
Mailing Address - Fax:714-899-3493
Practice Address - Street 1:250 HOSPITAL CIR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3953
Practice Address - Country:US
Practice Address - Phone:714-899-3498
Practice Address - Fax:714-899-3493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG47581247100000X, 2471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Multi-Specialty
No2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Multi-Specialty