Organization
SISKIYOU IMAGING,LLC
Active
Organization
SISKIYOU IMAGING,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH A GUSS (BUSINESS OFFICE MANAGER)
(541) 773-2493
Entity
Organization
Contact information
Practice address
278 MAPLE ST, ASHLAND, OR 97520-1552
(541) 201-4500
Mailing address
278 MAPLE ST, ASHLAND, OR 97520-1552
(541) 201-4500
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
080223 94
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100118
—
OR
Enumeration date
05/28/2006
Last updated
01/23/2009
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