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GENERAL RADIOLOGY PC NPI 1730393224


NPI Information

NPI: 1730393224
Provider Name: GENERAL RADIOLOGY PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
450 E 23RD ST
FREMONT, NE
ZIP 68025
Phone: (402) 721-3070
Get Directions

GENERAL RADIOLOGY PC is a diagnostic radiology radiology in Fremont, NE. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. GENERAL RADIOLOGY PC NPI is 1730393224. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

450 E 23RD ST
FREMONT, NE
ZIP 68025
Phone: (402) 721-3070
Fax: (402) 727-3513

The provider's authorized official is Mark Christian Johannsen .
The authorized official title is President General Radiology and has the following contact phone number (402) 721-4866.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 4/30/2008.


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 RadiologyYes

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
1092262MEDICARE PINNEBRASKA

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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