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MED-SOURCE DIAGNOSTICS NPI 1982845640


NPI Information

NPI: 1982845640
Provider Name: MED-SOURCE DIAGNOSTICS
Classification: Specialist/Technologist, Other - 246ZE0600X
Entity Type: Organization

Specialization: Electroneurodiagnostic

Address:
92 CORPORATE PARK
SUITE C226
IRVINE, CA
ZIP 92606
Phone: (959) 955-1398
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MED-SOURCE DIAGNOSTICS is an electroneurodiagnostic specialist technologist other in Irvine, CA. MED-SOURCE DIAGNOSTICS NPI is 1982845640. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

92 CORPORATE PARK
SUITE C226
IRVINE, CA
ZIP 92606-146
Phone: (959) 955-1398
Fax: (949) 861-7130

The provider's authorized official is Yvette Ceja .
The authorized official title is Executive Director and has the following contact phone number (949) 955-1398.

The enumeration date for this NPI number is 3/10/2009 and was last updated on 3/10/2009.


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
1246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticBUS02/02209CALIFORNIAYes

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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