WAVE IMAGING LLC NPI 1073946943

NPI Information

WAVE IMAGING, LLC is a radiology clinic center in Long Beach, CA. WAVE IMAGING, LLC NPI is 1073946943. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorialcare Imaging Center-long Beach.

The provider's business location address is:

3828 SCHAUFELE AVE
STE 250
LONG BEACH, CA
ZIP 90808-793
Phone: (562) 498-6322
Fax: (562) 986-4010

The provider's authorized official is Mark D Schafer .
The authorized official title is Manager and has the following contact phone number (657) 241-3500.

The CLIA number assigned to this NPI record is 05D2124395 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/15/2013 and was last updated on 10/28/2016.

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:

Other Identifiers

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