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MC CORMACK DENTAL XRAY INC. NPI 1558895243


NPI Information

NPI: 1558895243
Provider Name: MC CORMACK DENTAL XRAY INC.
Classification: Radiologic Technologist - 2471C3401X
Entity Type: Organization

Specialization: Computed Tomography

Address:
395 N. SECOND AVE.
UPLAND, CA
ZIP 91786
Phone: (909) 985-3030
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MC CORMACK DENTAL XRAY INC. is a computed tomography radiologic technologist in Upland, CA. The provider is a radiologic technologist who specializes in computed tomography (CT) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of CT imaging, exam techniques, equipment protocols, radiation safety, and patient care. MC CORMACK DENTAL XRAY INC. NPI is 1558895243. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

395 N. SECOND AVE.
UPLAND, CA
ZIP 91786
Phone: (909) 985-3030
Fax: (909) 946-1200

The provider's authorized official is Valerie J Wells .
The authorized official title is President/x-ray Tech and has the following contact phone number (909) 921-4273.

The enumeration date for this NPI number is 4/19/2017 and was last updated on 4/19/2017.


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
12471C3401XRadiologic TechnologistComputed TomographyRHP00040925CALIFORNIAYes

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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