Provider Demographics
NPI:1912194309
Name:PHYSICIANS IMAGING VISALIA LLC
Entity Type:Organization
Organization Name:PHYSICIANS IMAGING VISALIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:TOOKOIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-624-0160
Mailing Address - Street 1:137 S ASPEN CT
Mailing Address - Street 2:SUITE A
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-5175
Mailing Address - Country:US
Mailing Address - Phone:559-624-0160
Mailing Address - Fax:559-624-0258
Practice Address - Street 1:137 S ASPEN CT
Practice Address - Street 2:SUITE A
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5175
Practice Address - Country:US
Practice Address - Phone:559-624-0160
Practice Address - Fax:559-624-0258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty