Organization
TRI-COUNTY MEDICAL IMAGING SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLA JACKSON (PRESIDENT)
(559) 782-1973
Entity
Organization
Contact information
Practice address
590 W PUTNAM AVE, SUITE 2 B, PORTERVILLE, CA 93257-3257
(559) 782-1973
(559) 782-1976
Mailing address
PO BOX 8613, PORTERVILLE, CA 93258-8613
(559) 782-1973
(559) 782-1976
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
054353
CA
261QR0208X
Mobile Radiology Clinic/Center
Primary
054353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG409810
—
CA
05
—
OOG409811
—
CA
Enumeration date
11/15/2006
Last updated
09/11/2025
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