Provider Demographics
NPI:1881016608
Name:PRECISION MEDICAL IMAGING, LLC
Entity type:Organization
Organization Name:PRECISION MEDICAL IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:C
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:670-233-6004
Mailing Address - Street 1:PO BOX 500164
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-0164
Mailing Address - Country:US
Mailing Address - Phone:670-233-6004
Mailing Address - Fax:
Practice Address - Street 1:1 SPRINGS PLAZA #24
Practice Address - Street 2:MIDDLE ROAD GUALO RAI
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950-0164
Practice Address - Country:US
Practice Address - Phone:670-233-6004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-14
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP19027-0001-2261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology