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General NPI Number Information
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NPI Number | 1497634679
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Entity Type | Organization
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Legal Business Name | INLAND MRI LLC
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Dates
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Enumeration Date | 09/01/2025
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 14575 VALENCIA AVE
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City | FONTANA
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State | CA
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Zip | 92335-3141
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Country | US
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Telephone | 818-312-4555
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Fax |
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Provider Business Mailing Address
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Address Line | 20 WILCOX ST UNIT 111
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City | CASTLE ROCK
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State | CO
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Zip | 80104-1973
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | NATHANIEL M ORMOND
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Credential |
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Telephone | 818-312-4555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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