TATE DIAGNOSTIC INC NPI 1871718064

NPI Information

  • NPI: 1871718064
  • Provider Name: TATE DIAGNOSTIC, INC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Address: 628 LINCOLN CTR
    STOCKTON, CA
    ZIP 95207
  • Phone: (209) 952-9300

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NPI Details

TATE DIAGNOSTIC, INC is a radiology clinic center in Stockton, CA. TATE DIAGNOSTIC, INC NPI is 1871718064. The provider is registered as an organization entity type.

The provider's business location address is:

628 LINCOLN CTR
STOCKTON, CA
ZIP 95207-640
Phone: (209) 952-9300
Fax: (209) 952-9191

The provider's authorized official is Catherine Joy Tate .
The authorized official title is President and has the following contact phone number (209) 952-9300.

The enumeration date for this NPI number is 4/15/2007 and was last updated on 8/1/2008.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0200XClinic/CenterRadiologyYes

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
1GR0066981MEDICAIDCALIFORNIA

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: 11/21/2025

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