Provider Demographics
NPI:1982029955
Name:CLARITY RADIOLOGY SOLUTIONS
Entity Type:Organization
Organization Name:CLARITY RADIOLOGY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GUSTAFSON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA RT (R)
Authorized Official - Phone:951-746-4090
Mailing Address - Street 1:33439 PITMAN LN
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-7618
Mailing Address - Country:US
Mailing Address - Phone:855-392-6411
Mailing Address - Fax:961-346-3226
Practice Address - Street 1:33439 PITMAN LN
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-7618
Practice Address - Country:US
Practice Address - Phone:855-392-6411
Practice Address - Fax:961-346-3226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-27
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARHT00087366335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier