Provider Demographics
NPI:1982653952
Name:CAPITAL IMAGING LLC
Entity Type:Organization
Organization Name:CAPITAL IMAGING LLC
Other - Org Name:UPRIGHT MRI OF SEATTLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPEHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:MANSKER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:909-887-8788
Mailing Address - Street 1:4240 HALLMARK PKWY
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92407-1805
Mailing Address - Country:US
Mailing Address - Phone:909-887-8788
Mailing Address - Fax:909-887-6345
Practice Address - Street 1:220 SW 43RD ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-4936
Practice Address - Country:US
Practice Address - Phone:425-291-9191
Practice Address - Fax:425-291-9595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)