DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MADISON RADIOLOGY MEDICAL GROUP, INC.

MEDICARE: MADISON RADIOLOGY MEDICAL GROUP, INC.
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
12085B0100XBody Imaging Physician
22085N0904XNuclear Radiology Physician
32085R0204XVascular & Interventional Radiology Physician
42085U0001XDiagnostic Ultrasound Physician
52085R0202XDiagnostic Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ZZZ56942ZOTHERCABLUE SHIELD

General Provider Information

NPI Number : 1134118342
Entity Type Code : Organization
Provider Name (Legal Business Name) : MADISON RADIOLOGY MEDICAL GROUP, INC.
Provider Business Mailing Address
First Line : 223 N 1ST AVE
Second Line : SUITE #201
City : ARCADIA
State : CA
Zip : 91006-7089
Country : US
Telephone Number : 626-793-8189
Fax Number : 626-795-3975
Provider Business Practice Location Address
First Line : 65 N MADISON AVE
Second Line : LOWER LEVEL
City : PASADENA
State : CA
Zip : 91101-2035
Country : US
Telephone Number : 626-793-8189
Fax Number : 626-795-3975
Authorized Official
Title or Position : PRESIDENT OF MADISON RADIOLOGY
Name : DR. TERRY BECKER
Credential : MEDICAL DOCTOR
Telephone Number : 626-793-8189
Provider Enumeration Date : 10/19/2005
Last Update Date : 03/08/2019

Similar Medicare Providers

1780674374 — DR. TERRY S. BECKER MEDICAL DOCTOR
Practice Location Address:
65 N MADISON AVE , LOWER LEVEL
PASADENA, CA
91101-2035
Practice Phone: 626-793-8189
Practice Fax: 626-795-3975
1508840232 — PASADENA COLON & RECTAL MED GRP
Practice Location Address:
65 N MADISON AVE , STE 410
PASADENA, CA
91101-2035
Practice Phone: 626-795-4261
Practice Fax: 626-795-1506
1255303905 — LESLIE A DUDLEY MD
Practice Location Address:
65 N MADISON AVE , SUITE 800
PASADENA, CA
91101-2035
Practice Phone: 626-792-3141
Practice Fax: 626-792-9193
1306819271 — CARY M MANOOGIAN MD
Practice Location Address:
65 N MADISON AVE , SUITE 800
PASADENA, CA
91101-2035
Practice Phone: 626-792-3141
Practice Fax: 626-792-9193
1467425090 — STUART MILLER MD
Practice Location Address:
65 N MADISON AVE , SUITE 800
PASADENA, CA
91101-2035
Practice Phone: 626-792-3141
Practice Fax: 626-792-9193
1710951645 — CLAIRE TILEM MD
Practice Location Address:
65 N MADISON AVE , SUITE 800
PASADENA, CA
91101-2035
Practice Phone: 626-792-3141
Practice Fax: 626-792-9193

Directions to “MADISON RADIOLOGY MEDICAL GROUP, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.