Merritt Radiological Medical Group Inc

LBN: Merritt Radiological Medical Group Inc
Merritt Radiological Medical Group Inc is an health care organization with primary practice located at 526 Charity Way , Modesto CA 95356. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Merritt Radiological Medical Group Inc can be contacted via phone (209) 577-9900, or through Croutch, Robert J via phone (209) 577-9900.

Contact Information

Primary practice address
526 Charity Way Modesto CA 95356
Phone: (209) 577-9900
Fax: (209) 577-1509
Website:
Map and Directions
Authorized official contact:
Name: Croutch, Robert J Doctor of Medicine (MD)
Phone: (209) 577-9900

Health care specialties

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

Profile Details

NPI number 1598892861
LBN Legal business name Merritt Radiological Medical Group Inc
DBA Doing business as
Authorized official Croutch, Robert J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
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 1598892861 NPPES
California MEDICAID 00G606980

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