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MADISON RADIOLOGY MEDICAL GROUP INC. NPI 1134118342


NPI Information

NPI: 1134118342
Provider Name: MADISON RADIOLOGY MEDICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
65 N MADISON AVE
LOWER LEVEL
PASADENA, CA
ZIP 91101
Phone: (626) 793-8189
Get Directions

MADISON RADIOLOGY MEDICAL GROUP, INC. is a diagnostic radiology radiology in Pasadena, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MADISON RADIOLOGY MEDICAL GROUP, INC. NPI is 1134118342. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

65 N MADISON AVE
LOWER LEVEL
PASADENA, CA
ZIP 91101-035
Phone: (626) 793-8189
Fax: (626) 795-3975

The provider's authorized official is Terry Becker .
The authorized official title is President Of Madison Radiology and has the following contact phone number (626) 793-8189.

The enumeration date for this NPI number is 10/19/2005 and was last updated on 3/8/2019.


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
12085B0100XRadiologyBody ImagingNo
22085N0904XRadiologyNuclear RadiologyNo
32085R0202XRadiologyDiagnostic RadiologyYes
42085R0204XRadiologyVascular & Interventional RadiologyNo
52085U0001XRadiologyDiagnostic UltrasoundNo

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
1GR0079230MEDICAIDCALIFORNIA
2ZZZ56942ZOTHERCALIFORNIABLUE SHIELD

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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