Healthcare Provider Details

I. General information

NPI: 1407601982
Provider Name (Legal Business Name): UNITED MEDICAL RADIOLOGY NETWORK, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2024
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10230 ARTESIA BLVD STE 100
BELLFLOWER CA
90706-6763
US

IV. Provider business mailing address

PO BOX 491149
LOS ANGELES CA
90049-9149
US

V. Phone/Fax

Practice location:
  • Phone: 562-461-3400
  • Fax: 562-216-7207
Mailing address:
  • Phone: 310-474-2288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARGARET STEPHENS
Title or Position: ADMINISTRATOR
Credential:
Phone: 310-357-4617