Glendale Radiology Medical Group, Inc.

LBN: Glendale Radiology Medical Group, Inc.
Glendale Radiology Medical Group, Inc. is an health care organization with primary practice located at 1509 Wilson Ter 1420 S Central Ave, Glendale CA 91206-4007. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Glendale Radiology Medical Group, Inc. can be contacted via phone (818) 247-2095, or through Lilley, James M. via phone (818) 247-2095.

Contact Information

Primary practice address
1509 Wilson Ter 1420 S Central Ave Glendale CA 91206-4007
Phone: (818) 247-2095
Fax: (818) 247-1863
Website:
Map and Directions
Authorized official contact:
Name: Lilley, James M. Doctor of Medicine (MD)
Phone: (818) 247-2095

Health care specialties

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

Profile Details

NPI number 1396759726
LBN Legal business name Glendale Radiology Medical Group, Inc.
DBA Doing business as
Authorized official Lilley, James M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1396759726 NPPES
California MEDICAID ZZZ75635Z

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