Eagle Imaging Medical Group, Inc.

LBN: Eagle Imaging Medical Group, Inc.
Eagle Imaging Medical Group, Inc. is an health care organization with primary practice located at 431 S Batavia St Ste. 103, Orange CA 92868-3936. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Eagle Imaging Medical Group, Inc. can be contacted via phone (714) 538-6731, or through Haberman, Barry via phone (714) 571-5000.

Contact Information

Primary practice address
431 S Batavia St Ste. 103 Orange CA 92868-3936
Fax: (714) 771-8369
Website:
Authorized official contact:
Name: Haberman, Barry

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1518165638
LBN Legal business name Eagle Imaging Medical Group, Inc.
DBA Doing business as
Authorized official Haberman, Barry
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2007
Last updated Aug 18th, 2008 - about 17 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 1518165638 NPPES
California MEDICAID GR0095110
California MEDICAID GR0095111
California MEDICAID GR0095113
California MEDICAID GR0095112

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