Organization
ISHRAF CORPORATION
Active
Other names
Lifescan Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEENA ISRAR (CHAIRMAN)
(925) 413-0780
Entity
Organization
Contact information
Practice address
5720 STONERIDGE MALL RD STE 288, PLEASANTON, CA 94588-2830
(877) 470-7531
Mailing address
5720 STONERIDGE MALL RD STE 288, PLEASANTON, CA 94588-2830
(925) 413-0789
(925) 897-5198
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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