# OSTEO IMAGING SERVICE

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

## Provider details

- **NPI number:** 1992897979
- **Authorized official:** JODI CHARTIER (GENERAL MANAGER/OWNER)
- **Authorized official phone:** (909) 225-3042

## Contact information

- **Practice address:** 1180 OLYMPIC DR, SUITE 108, CORONA, CA 92881-3393
- **Practice address phone:** (909) 225-3042
- **Practice address fax:** (951) 272-2815
- **Mailing address:** PO BOX 78777, CORONA, CA 92877-0159
- **Mailing address phone:** (909) 225-3042
- **Mailing address fax:** (951) 272-2815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | CA | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 08/22/2020