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WILLIAM M. KELLY M.D. INC. NPI 1922172550


NPI Information

NPI: 1922172550
Provider Name: WILLIAM M. KELLY M.D., INC.

Doing Business As: HEALTH SCAN IMAGING

Classification: Radiologic Technologist - 2471M1202X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging

Address:
1080 N. INDIAN CANYON DR.
SUITE 104
PALM SPRINGS, CA
ZIP 92262
Phone: (760) 322-3036
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WILLIAM M. KELLY M.D., INC. is a magnetic resonance imaging radiologic technologist in Palm Springs, CA. The provider is a radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care. WILLIAM M. KELLY M.D., INC. NPI is 1922172550. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Health Scan Imaging.

The provider's business location address is:

1080 N. INDIAN CANYON DR.
SUITE 104
PALM SPRINGS, CA
ZIP 92262-869
Phone: (760) 322-3036
Fax: (760) 322-3037

The provider's authorized official is Melonie Storer .
The authorized official title is Credentialing Administrator and has the following contact phone number (951) 302-2223.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 1/12/2010.


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
12085D0003XRadiologyDiagnostic NeuroimagingNo
22471M1202XRadiologic TechnologistMagnetic Resonance ImagingA34125CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ02829ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE
2A27387MEDICARE UPINCALIFORNIA
3ZZZ22856ZMEDICARE PIN

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: 5/5/2024

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