TUOLUMNE RADIOLOGY GROUP INC NPI 1477537231

NPI Information

NPI: 1477537231
Provider Name: TUOLUMNE RADIOLOGY GROUP INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 05D2296470

Address:
1000 GREENLEY RD
SONORA, CA
ZIP 95370
Phone: (209) 342-2300
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TUOLUMNE RADIOLOGY GROUP INC is a diagnostic radiology radiology in Sonora, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. TUOLUMNE RADIOLOGY GROUP INC NPI is 1477537231. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 GREENLEY RD
SONORA, CA
ZIP 95370-200
Phone: (209) 342-2300
Fax: (209) 524-4240

The provider's authorized official is Gregory John Schaner .
The authorized official title is Medical Director and has the following contact phone number (209) 342-2300.

The CLIA number assigned to this NPI record is 05D2296470 - other - jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2005 and was last updated on 7/17/2007.

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
1	2085R0202X	Radiology	Diagnostic Radiology		CALIFORNIA	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	ZZZ75740Z	OTHER	CALIFORNIA	BLUE SHEILD
2	ZZZ75740Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
3	GB0009710	MEDICAID	CALIFORNIA

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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