Madison Radiology Medical Group, Inc.
LBN: Madison Radiology Medical Group, Inc.
Madison Radiology Medical Group, Inc. is an health care organization with primary practice located at 65 N Madison Ave Lower Level, Pasadena CA 91101-2035. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Madison Radiology Medical Group, Inc. can be contacted via phone (626) 793-8189, or through Becker, Terry via phone (626) 793-8189.
Contact Information
Primary practice address
65 N Madison Ave Lower Level
Pasadena CA 91101-2035
Phone: (626) 793-8189
Fax: (626) 795-3975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ||
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ||
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X |
Profile Details
| NPI number | 1134118342 |
|---|---|
| LBN Legal business name | Madison Radiology Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Becker, Terry MEDICAL DOCTOR |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Mar 8th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134118342 | NPPES |
| California | MEDICAID | GR0079230 | |
| California | Other | ZZZ56942Z |
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