NORTHSTAR IMAGING MEDICAL GROUP INC. NPI 1598818858

NPI Information

NPI: 1598818858
Provider Name: NORTHSTAR IMAGING MEDICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1800 SPRING RIDGE DR
SUSANVILLE, CA
ZIP 96130
Phone: (530) 252-2111
Get Directions

NORTHSTAR IMAGING MEDICAL GROUP, INC. is a diagnostic radiology radiology in Susanville, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NORTHSTAR IMAGING MEDICAL GROUP, INC. NPI is 1598818858. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1800 SPRING RIDGE DR
SUSANVILLE, CA
ZIP 96130-100
Phone: (530) 252-2111

The provider's authorized official is Robert G Leckie .
The authorized official title is Treasurer and has the following contact phone number (775) 813-8054.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 7/16/2014.

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			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	ZZZ32547Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	CA MCARE GROUP

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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