Provider Demographics
NPI:1144266164
Name:PHYSICIANS IMAGING LP
Entity type:Organization
Organization Name:PHYSICIANS IMAGING LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HAGOP
Authorized Official - Middle Name:
Authorized Official - Last Name:TOOKOIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-439-7226
Mailing Address - Street 1:1243 E SPRUCE AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3379
Mailing Address - Country:US
Mailing Address - Phone:559-439-7226
Mailing Address - Fax:
Practice Address - Street 1:1243 E SPRUCE AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3379
Practice Address - Country:US
Practice Address - Phone:559-439-7226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ08544ZOtherBLUE SHIELD
CAP00082778Medicare PIN
CAZZZ08544ZOtherBLUE SHIELD