Petaluma Open Mri

LBN: Col North California, Llc
Petaluma Open Mri is an health care organization with primary practice located at 181 Lynch Creek Way Suite 102, Petaluma CA 94954-2372. The organization recently has only one registered license in Laboratories / Physiological Laboratory, which is considered as the primary health care specialty. Col North California, Llc can be contacted via phone (707) 766-7074, or through Howard, Patrick G. via phone (337) 291-9161.

Contact Information

Primary practice address
181 Lynch Creek Way Suite 102 Petaluma CA 94954-2372
Phone: (707) 766-7074
Fax: (707) 766-7075
Website:
Map and Directions
Authorized official contact:
Name: Howard, Patrick G.
Phone: (337) 291-9161

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1588663124
LBN Legal business name Col North California, Llc
DBA Doing business as Petaluma Open Mri
Authorized official Howard, Patrick G.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2005
Last updated Mar 3rd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588663124 NPPES
California MEDICAID GR004920D

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