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MIRACOR DIAGNOSTICS INC. NPI 1104931864


NPI Information

NPI: 1104931864
Provider Name: MIRACOR DIAGNOSTICS, INC.

Doing Business As: LONG BEACH MEDICAL IMAGING CENTER

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
4200 E PACIFIC COAST HWY
LONG BEACH, CA
ZIP 90804
Phone: (562) 498-6322
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MIRACOR DIAGNOSTICS, INC. is a physiological laboratory in Long Beach, CA. The provider is 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 laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. MIRACOR DIAGNOSTICS, INC. NPI is 1104931864. The provider is registered as an organization entity type.
The provider Is Doing Business As Long Beach Medical Imaging Center.

The provider's business location address is:

4200 E PACIFIC COAST HWY
LONG BEACH, CA
ZIP 90804-112
Phone: (562) 498-6322

The provider's authorized official is Gaelane Rosinski .
The authorized official title is Contracting/credentialing Specialis and has the following contact phone number 847658006.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1293D00000XPhysiological LaboratoryCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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