RENAISSANCE IMAGING MEDICAL ASSOCIATES INC. NPI 1487608931

NPI Information

NPI: 1487608931
Provider Name: RENAISSANCE IMAGING MEDICAL ASSOCIATES, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1600 W AVENUE J
LANCASTER, CA
ZIP 93534
Phone: (661) 949-5000
Get Directions

RENAISSANCE IMAGING MEDICAL ASSOCIATES, INC. is a diagnostic radiology radiology in Lancaster, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RENAISSANCE IMAGING MEDICAL ASSOCIATES, INC. NPI is 1487608931. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1600 W AVENUE J
LANCASTER, CA
ZIP 93534-814
Phone: (661) 949-5000

The provider's authorized official is Keith M Harrington .
The authorized official title is Vice President and has the following contact phone number (424) 218-9368.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 6/5/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2085B0100X	Radiology	Body Imaging	No
2	2085N0700X	Radiology	Neuroradiology	No
3	2085P0229X	Radiology	Pediatric Radiology	No
4	2085R0204X	Radiology	Vascular & Interventional Radiology	No
5	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	No
6	2085R0202X	Radiology	Diagnostic Radiology	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GR0086070	MEDICAID	CALIFORNIA
2	ZZZ65816Z	OTHER		BLUE SHIELD
3	ZZZ33823Z	OTHER		BLUE SHIELD
4	ZZZ69508Z	OTHER		BLUE SHIELD
5	CG2517	OTHER		RAILROAD MEDICARE
6	GR0086071	MEDICAID	CALIFORNIA
7	ZZZ59788Z	OTHER		BLUE SHIELD
8	ZZZ65767Z	OTHER		BLUE SHIELD
9	ZZZ67806Z	OTHER		BLUE SHIELD

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

NPI Synchronization or Removal

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