Organization
RADIOLOGY VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHIM HAYDAR ALI (CEO/PRESIDENT)
(619) 646-0416
Entity
Organization
Contact information
Practice address
3144 SWEET LILAC WAY, STOCKTON, CA 95209
(619) 646-0416
Mailing address
6333 PACIFIC AVE # 544, STOCKTON, CA 95207-3713
(619) 646-0416
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
01/04/2024
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