Organization
OLSON IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MCINTRYE (OWNER PRESIDENT)
(714) 479-0461
Entity
Organization
Contact information
Practice address
631 N STEPHANIE ST, STE 423, HENDERSON, NV 89014-2633
(702) 340-7111
(714) 479-0463
Mailing address
2424 N GRAND AVE, STE A1, SANTA ANA, CA 92705
(714) 479-0461
(714) 479-0463
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
07/11/2006
Last updated
10/01/2007
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