Provider Demographics
NPI:1295279859
Name:TURLOCK IMAGING SERVICES, LLC
Entity type:Organization
Organization Name:TURLOCK IMAGING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER / AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JAIKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KRISHNASWAMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-713-3500
Mailing Address - Street 1:3900 GEER RD
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-1147
Mailing Address - Country:US
Mailing Address - Phone:209-669-0600
Mailing Address - Fax:209-846-7319
Practice Address - Street 1:3900 GEER RD
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-1147
Practice Address - Country:US
Practice Address - Phone:209-669-0600
Practice Address - Fax:209-846-7319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-15
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology