MEDICARE: CLEAR MRI LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number	:	1093532525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEAR MRI LLC

Provider Business Mailing Address
First Line	:	5927 BALFOUR CT STE 212
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92008-7377
Country	:	US
Telephone Number	:	760-607-1749
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 CAMINO DEL RIO N # R039Z-4
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1506
Country	:	US
Telephone Number	:	760-583-7491
Fax Number	:

Authorized Official
Title or Position	:	ACCOUNTING MANAGER
Name	:	GINA RENE PARSONS
Credential	:
Telephone Number	:	916-296-8419

Provider Enumeration Date	:	09/25/2024
Last Update Date	:	09/25/2024

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