RIVERSIDE IMAGING LLC NPI 1104818459

NPI Information

NPI: 1104818459
Provider Name: RIVERSIDE IMAGING LLC

Doing Business As: COMPUTERIZED DIAGNOSTIC IMAGING CENTERS - RIVERSIDE

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
4000 14TH ST
SUITE 109
RIVERSIDE, CA
ZIP 92501
Phone: (951) 276-7500
Get Directions

RIVERSIDE IMAGING LLC is a radiology clinic center in Riverside, CA. RIVERSIDE IMAGING LLC NPI is 1104818459. The provider is registered as an organization entity type.
The provider Is Doing Business As Computerized Diagnostic Imaging Centers - Riverside.

The provider's business location address is:

4000 14TH ST
SUITE 109
RIVERSIDE, CA
ZIP 92501-083
Phone: (951) 276-7500
Fax: (951) 276-7543

The provider's authorized official is Lavelle Hardin .
The authorized official title is Coordinator and has the following contact phone number (615) 344-8203.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 3/18/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	No
2	261QR0206X	Clinic/Center	Radiology, Mammography	No
3	261QR0200X	Clinic/Center	Radiology	Yes

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
1	IDTF00710	MEDICAID	CALIFORNIA
2	ZZZ05012Z	MEDICARE PIN	CALIFORNIA
3	P00380860	OTHER	CALIFORNIA	RR MEDICARE

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

NPI Synchronization or Removal

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