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NPI Code Detail

MEDICARE: RENEW RADIOLOGY SERVICES PC

MEDICARE: RENEW RADIOLOGY SERVICES PC
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
12085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1831085315
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENEW RADIOLOGY SERVICES PC
Provider Business Mailing Address
First Line : 700 E REDLANDS BLVD STE U302
Second Line :
City : REDLANDS
State : CA
Zip : 92373-6109
Country : US
Telephone Number : 844-565-6471
Fax Number :
Provider Business Practice Location Address
First Line : 9300 W SUNSET RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4844
Country : US
Telephone Number : 702-916-5000
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DARIN L RENTZ
Credential : DO
Telephone Number : 844-565-6471
Provider Enumeration Date : 06/13/2025
Last Update Date : 12/09/2025

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Directions to “RENEW RADIOLOGY SERVICES PC ” Practice Location

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