Merced Radiology Medical Group

LBN: Merced Radiology Medical Group
Merced Radiology Medical Group is an health care organization with primary practice located at 731 E Yosemite Ave Suite B-170, Merced CA 95340-8039. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Merced Radiology Medical Group can be contacted via phone (209) 342-2300, or through Wagner, Mark A via phone (209) 342-2300.

Contact Information

Primary practice address
731 E Yosemite Ave Suite B-170 Merced CA 95340-8039
Phone: (209) 342-2300
Fax: (209) 524-4240
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Mark A Doctor of Osteopathy (DO)
Phone: (209) 342-2300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 8126 California

Profile Details

NPI number 1992796643
LBN Legal business name Merced Radiology Medical Group
DBA Doing business as
Authorized official Wagner, Mark A Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2005
Last updated Oct 16th, 2008 - about 16 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 1992796643 NPPES
California MEDICAID GR0005283
California MEDICAID GR0005286
California MEDICAID GR0005289
California MEDICAID GR0005282
California MEDICAID GR0005287
California Other ZZZ25145Z
California MEDICAID GR0005280
California MEDICAID GR0005281
California MEDICAID GR0005285

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