CENTRELAKE MEDICAL GROUP INC. NPI 1639137938

NPI Information

NPI: 1639137938
Provider Name: CENTRELAKE MEDICAL GROUP, INC.

Doing Business As: CENTRELAKE IMAGING & ONCOLOGY

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3115 E GUASTI RD
ONTARIO, CA
ZIP 91761
Phone: (909) 635-0411
Get Directions

CENTRELAKE MEDICAL GROUP, INC. is a diagnostic radiology radiology in Ontario, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CENTRELAKE MEDICAL GROUP, INC. NPI is 1639137938. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Centrelake Imaging & Oncology.

The provider's business location address is:

3115 E GUASTI RD
ONTARIO, CA
ZIP 91761-853
Phone: (909) 635-0411
Fax: (909) 635-0441

The provider's authorized official is Amar A Lapsi .
The authorized official title is Chief Operating Officer and has the following contact phone number (909) 212-6206.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 5/24/2021.

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	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology		CALIFORNIA	Yes
2	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	FNP34299	CALIFORNIA	No
3	261QX0203X	Clinic/Center	Oncology, Radiation	FNP34299	CALIFORNIA	No

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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