PUEBLO RADIOLOGY MEDICAL GROUP INC NPI 1871549899

NPI Information

PUEBLO RADIOLOGY MEDICAL GROUP INC is a diagnostic radiology radiology in Santa Barbara, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PUEBLO RADIOLOGY MEDICAL GROUP INC NPI is 1871549899. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

250 W PUEBLO ST
SANTA BARBARA, CA
ZIP 93105-805
Phone: (805) 682-7744
Fax: (805) 682-3321

The provider's authorized official is Lawrence Harter .
The authorized official title is President and has the following contact phone number (805) 682-7984.

The CLIA number assigned to this NPI record is 05D1080145 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 5/20/2008.

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:

Other Identifiers

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