# SISKIYOU IMAGING,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700833472
- **Authorized official:** MS. JUDITH A GUSS (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (541) 773-2493

## Contact information

- **Practice address:** 278 MAPLE ST, ASHLAND, OR 97520-1552
- **Practice address phone:** (541) 201-4500
- **Mailing address:** 278 MAPLE ST, ASHLAND, OR 97520-1552
- **Mailing address phone:** (541) 201-4500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | 080223 94 | OR | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 01/23/2009