Enhanced Medical Imaging Of Coos Bay Llc in Coos Bay - Physiological Laboratory
Enhanced Medical Imaging Of Coos Bay Llc - NPI 1902090103
Enhanced Medical Imaging Of Coos Bay Llc is a Physiological Laboratory in Coos Bay, Oregon. Enhanced Medical Imaging Of Coos Bay Llc practices all healthcare services and medical treatments related to Physiological Laboratory. The NPI Number for Enhanced Medical Imaging Of Coos Bay Llc is 1902090103. The last update date is 2007-08-30.
Enhanced Medical Imaging Of Coos Bay Llc's current location address is 2650 N 17th St, Coos Bay, Oregon. You can contact this provider via phone number 5412675411 and fax number 5412674898. The mailing address for Enhanced Medical Imaging Of Coos Bay Llc is 2650 N 17th St, Coos Bay, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Enhanced Medical Imaging Of Coos Bay Llc |
|---|---|
| Address | 2650 N 17th St, Coos Bay, Oregon |
| Phone Number | 5412675411 |
| Fax Number | 5412674898 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Wnuck Eric |
| Telephone Number | 5412675411 |
NPI Number Detail
| NPI Number | 1902090103 |
|---|---|
| Provider Enumeration Date | 2007-08-30 |
| Last Updated Date | 2007-08-30 |
Provider Mailing Address Detail
| Address | 2650 N 17th St |
|---|---|
| City | Coos Bay |
| State | Oregon (OR) |
| Post Code | 974202134 |
| Phone Number | 5412675411 |
| Fax Number | 5412674898 |
Provider's Primary Taxonomy Detail
| Speciality | Physiological Laboratory |
|---|---|
| Taxonomy | 293D00000X |
|
Definition: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratorie |
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What is the Enhanced Medical Imaging Of Coos Bay Llc's 1902090103?
The Enhanced Medical Imaging Of Coos Bay Llc's NPI (National Provider Identifier) Number is 1902090103. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Enhanced Medical Imaging Of Coos Bay Llc is geographically located?
The Enhanced Medical Imaging Of Coos Bay Llc is physically situated at the following location: 2650 N 17Th St, Coos Bay, OR, 974202134.
What is Enhanced Medical Imaging Of Coos Bay Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Enhanced Medical Imaging Of Coos Bay Llc is Physiological Laboratory, and the corresponding taxonomy classification code for this specialized field is 293D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902090103 to Enhanced Medical Imaging Of Coos Bay Llc?
The Centers for Medicare & Medicaid Services assigned the 1902090103 to Enhanced Medical Imaging Of Coos Bay Llc on 2007-08-30.
When was the information pertaining to Enhanced Medical Imaging Of Coos Bay Llc most recently updated or revised?
The details related to Enhanced Medical Imaging Of Coos Bay Llc, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-30.
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