Marlon Dean Black in Pasadena - Diagnostic Radiology
Marlon Dean Black - NPI 1245442714
Marlon Dean Black is a Diagnostic Radiology in Pasadena, California. Marlon Dean Black practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Marlon Dean Black is 1245442714. The last update date is 2022-07-07.
Marlon Dean Black's current location address is Dept La 21613, Pasadena, California. You can contact this provider via phone number 9492638620 and fax number 9492631639. The mailing address for Marlon Dean Black is Dept La 21613, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marlon Dean Black |
|---|---|
| Address | Dept La 21613, Pasadena, California |
| Phone Number | 9492638620 |
| Fax Number | 9492631639 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1245442714 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2022-07-07 |
Provider Mailing Address Detail
| Address | Dept La 21613 |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911851613 |
| Phone Number | 9492638620 |
| Fax Number | 9492631639 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | A84822 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A848220 | CA | -- | |
| 00A848220 | CA | BS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Marlon Dean Black by the Centers for Medicare & Medicaid Services?
The Marlon Dean Black has been issued the NPI (National Provider Identifier) 1245442714, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Marlon Dean Black's physical address?
The Marlon Dean Black is physically located at Dept La 21613, in the city of Pasadena, CA, with the postal code 911851613.
What is Marlon Dean Black's area of expertise and its corresponding taxonomy classification?
The Marlon Dean Black's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.
When did Marlon Dean Black receive its 1245442714 assignment?
The Marlon Dean Black was assigned its 1245442714 on 2007-05-04, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Marlon Dean Black, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Marlon Dean Black, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-07.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA