Provider Demographics
NPI:1861789133
Name:LUXE IMAGING, INC.
Entity type:Organization
Organization Name:LUXE IMAGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SIRI
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-589-2558
Mailing Address - Street 1:2781 W MACARTHUR BLVD
Mailing Address - Street 2:SUITE B308
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-8300
Mailing Address - Country:US
Mailing Address - Phone:714-589-2558
Mailing Address - Fax:714-589-2559
Practice Address - Street 1:2781 W MACARTHUR BLVD
Practice Address - Street 2:SUITE B308
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-8300
Practice Address - Country:US
Practice Address - Phone:714-589-2558
Practice Address - Fax:714-589-2559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiographyGroup - Single Specialty