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STOCKDALE RADIOLOGY PHYSICIANS SERVICES INC NPI 1669806402


NPI Information

NPI: 1669806402
Provider Name: STOCKDALE RADIOLOGY PHYSICIANS SERVICES, INC

Doing Business As: STOCKDALE RADIOLOGY PHYSICIANS

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 05D0889314

Address:
4000 EMPIRE DR
SUITE 100
BAKERSFIELD, CA
ZIP 93309
Phone: (661) 631-8000
Get Directions

STOCKDALE RADIOLOGY PHYSICIANS SERVICES, INC is a diagnostic radiology radiology in Bakersfield, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. STOCKDALE RADIOLOGY PHYSICIANS SERVICES, INC NPI is 1669806402. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Stockdale Radiology Physicians.

The provider's business location address is:

4000 EMPIRE DR
SUITE 100
BAKERSFIELD, CA
ZIP 93309-441
Phone: (661) 631-8000
Fax: (661) 631-8005

The provider's authorized official is David G Suadi .
The authorized official title is President and has the following contact phone number (661) 631-8000.

The CLIA number assigned to this NPI record is 05D0889314 - health main. organization with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/28/2013 and was last updated on 9/21/2016.


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
12085R0202XRadiologyDiagnostic Radiology20A9263CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F03091MEDICARE UPINCALIFORNIA

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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