Provider Demographics
NPI:1215735709
Name:ARRAY MEDICAL IMAGING, LLC
Entity type:Organization
Organization Name:ARRAY MEDICAL IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CORAL
Authorized Official - Middle Name:LORENA
Authorized Official - Last Name:LEPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:442-255-4118
Mailing Address - Street 1:15428 CIVIC DR STE 225
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-2362
Mailing Address - Country:US
Mailing Address - Phone:442-255-4118
Mailing Address - Fax:
Practice Address - Street 1:15428 CIVIC DR STE 225
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-2362
Practice Address - Country:US
Practice Address - Phone:442-255-4118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty