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WHITEFIELD MEDICAL LABORATORY INC NPI 1770778813


NPI Information

NPI: 1770778813
Provider Name: WHITEFIELD MEDICAL LABORATORY INC

Doing Business As: WHITEFIELD RADIOLOGY

Classification: Radiologic Technologist - 247100000X
Entity Type: Organization
Address:
1818 N ORANGEGROVE AVE
SUITE 101
POMONA, CA
ZIP 91767
Phone: (909) 622-3166
Get Directions

WHITEFIELD MEDICAL LABORATORY INC is a radiologic technologist in Pomona, CA. The provider is a medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation. WHITEFIELD MEDICAL LABORATORY INC NPI is 1770778813. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Whitefield Radiology.

The provider's business location address is:

1818 N ORANGEGROVE AVE
SUITE 101
POMONA, CA
ZIP 91767
Phone: (909) 622-3166
Fax: (909) 622-8046

The provider's authorized official is Jatin Laxpati .
The authorized official title is Ceo/president and has the following contact phone number (909) 622-3166.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 1/28/2009.


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
1247100000XRadiologic TechnologistYes

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
1A27162MEDICARE UPINCALIFORNIA
2GR0083060MEDICAIDCALIFORNIA
3TG079MEDICARE PIN
400A334740MEDICAIDCALIFORNIA
5W18019MEDICARE UPINCALIFORNIA
6WA33474AMEDICARE UPINCALIFORNIA
7A39934MEDICARE UPINCALIFORNIA

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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