# PRIME RAD INC

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

## Provider details

- **NPI number:** 1972323228
- **Authorized official:** DR. HUY Q LE MD/PHD (SUPERVISING RADIOLOGIST/OWNER)
- **Authorized official phone:** (714) 398-2287

## Contact information

- **Practice address:** 1400 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-3603
- **Practice address phone:** (626) 464-4314
- **Practice address fax:** (626) 603-6994
- **Mailing address:** 1400 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-3603
- **Mailing address phone:** (626) 464-4314
- **Mailing address fax:** (626) 603-6994

## Taxonomy

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

## Other

- **Enumeration date:** 10/11/2024
- **Last updated:** 10/11/2024