Advanced Imaging Of Tracy Llc in Modesto - Diagnostic Radiology

Advanced Imaging Of Tracy Llc - NPI 1275523151

Advanced Imaging Of Tracy Llc is a Diagnostic Radiology in Modesto, California. Advanced Imaging Of Tracy Llc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Advanced Imaging Of Tracy Llc is 1275523151. The last update date is 2020-08-22.

Advanced Imaging Of Tracy Llc's current location address is 4301 Northstar Way, Modesto, California. You can contact this provider via phone number 2093422300 and fax number 2095244240. The mailing address for Advanced Imaging Of Tracy Llc is 4301 Northstar Way, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Advanced Imaging Of Tracy Llc
Address 4301 Northstar Way, Modesto, California
Phone Number 2093422300
Fax Number 2095244240
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CREDENTIAL
Authorized Official Name Rondowanski L Terri
Telephone Number 2093422300

NPI Number Detail

NPI Number 1275523151
Provider Enumeration Date 2005-10-24
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4301 Northstar Way
City Modesto
State California (CA)
Post Code 953569262
Phone Number 2093422300
Fax Number 2095244240

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 69105
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ07670Z CA BLUE SHIELD

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FAQs about Advanced Imaging Of Tracy Llc

What is the unique 10-digit identifier code assigned to Advanced Imaging Of Tracy Llc by the Centers for Medicare & Medicaid Services?

The Advanced Imaging Of Tracy Llc has been issued the NPI (National Provider Identifier) 1275523151 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Advanced Imaging Of Tracy Llc's facilities are geographically located?

The facilities of Advanced Imaging Of Tracy Llc are physically situated at the following location: 4301 Northstar Way, Modesto, CA, 953569262.

What is the Advanced Imaging Of Tracy Llc's area of specialization and corresponding taxonomy classification?

The Advanced Imaging Of Tracy Llc's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.

On what date was the 1275523151 assigned to Advanced Imaging Of Tracy Llc?

The Advanced Imaging Of Tracy Llc was issued its 1275523151 on 2005-10-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Advanced Imaging Of Tracy Llc most recently updated or refreshed?

The details pertaining to the Advanced Imaging Of Tracy Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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