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ADVANCED IMAGING OF TRACY LLC NPI 1730595984


NPI Information

NPI: 1730595984
Provider Name: ADVANCED IMAGING OF TRACY LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
7208 LOTUS AVE
APT 15
SAN GABRIEL, CA
ZIP 91755
Phone: (209) 833-2393
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ADVANCED IMAGING OF TRACY LLC is a diagnostic radiology radiology in San Gabriel, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADVANCED IMAGING OF TRACY LLC NPI is 1730595984. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7208 LOTUS AVE
APT 15
SAN GABRIEL, CA
ZIP 91755-255
Phone: (209) 833-2393

The provider's authorized official is Richard M. Porzio .
The authorized official title is Md/president and has the following contact phone number (209) 833-2393.

The enumeration date for this NPI number is 7/9/2014 and was last updated on 7/9/2014.


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

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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