Provider Demographics
NPI:1306049671
Name:PRECISE MRI CORP.
Entity type:Organization
Organization Name:PRECISE MRI CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAKLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BENJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-907-7723
Mailing Address - Street 1:6710 KESTER AVE #126
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405
Mailing Address - Country:US
Mailing Address - Phone:818-907-7723
Mailing Address - Fax:818-907-7611
Practice Address - Street 1:6710 KESTER AVE #126
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405
Practice Address - Country:US
Practice Address - Phone:818-907-7723
Practice Address - Fax:818-907-7611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TG098Medicare UPIN
EM274AMedicare Oscar/Certification
CAEM274AMedicare UPIN