Northern California P.E.T. Imaging Center

LBN: Northern California P.E.T. Imaging Center
Northern California P.E.T. Imaging Center is an health care organization with primary practice located at 406 Sunrise Ave , Roseville CA 95661-4106. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as the primary health care specialty. Northern California P.E.T. Imaging Center can be contacted via phone (888) 738-3211, or through Schmidt, Bradley via phone (916) 739-0788.

Contact Information

Primary practice address
406 Sunrise Ave Roseville CA 95661-4106
Phone: (888) 738-3211
Fax: (916) 737-6203
Website:
Map and Directions
Authorized official contact:
Name: Schmidt, Bradley
Phone: (916) 739-0788

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X California

Profile Details

NPI number 1790734317
LBN Legal business name Northern California P.E.T. Imaging Center
DBA Doing business as
Authorized official Schmidt, Bradley
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Oct 19th, 2023 - about 2 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 1790734317 NPPES
California MEDICAID GR0088760

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