MODESTO RADIOLOGICAL MEDICAL GROUP NPI 1578937744

NPI Information

MODESTO RADIOLOGICAL MEDICAL GROUP is a diagnostic radiology radiology in Lafayette, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MODESTO RADIOLOGICAL MEDICAL GROUP NPI is 1578937744. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2283 HIDDEN POND LN
LAFAYETTE, CA
ZIP 94549-742
Phone: (559) 455-4009
Fax: (916) 533-0023

The provider's authorized official is Mark Moore .
The authorized official title is Cfo/coo and has the following contact phone number (209) 342-5946.

The enumeration date for this NPI number is 11/25/2015 and was last updated on 11/25/2015.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.