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General NPI Number Information
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NPI Number | 1992844088
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Entity Type | Organization
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Legal Business Name | MEDICAL CENTER MAGNETIC IMAGING, LLC
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 3000 TELEGRAPH AVE
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City | OAKLAND
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State | CA
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Zip | 94609-3218
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Country | US
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Telephone | 510-869-8777
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Fax | 510-893-0332
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Provider Business Mailing Address
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Address Line | 3000 TELEGRAPH AVE
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City | OAKLAND
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State | CA
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Zip | 94609-3218
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Country | US
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Telephone | 510-869-8777
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Fax | 510-893-0332
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Authorized Official
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Title or Position | CFO
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Name | AARON ADAMS
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Credential |
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Telephone | 510-869-6825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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