Palm Imaging Institute, A Medical Corporation
LBN: Palm Imaging Institute, A Medical Corporation
Palm Imaging Institute, A Medical Corporation is an health care organization with primary practice located at 399 E 21St St , San Bernardino CA 92404-4815. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Palm Imaging Institute, A Medical Corporation can be contacted via phone (909) 882-2266, or through Donaldson, Tanie via phone (909) 882-2266.
Contact Information
Primary practice address
399 E 21St St
San Bernardino CA 92404-4815
Phone: (909) 882-2266
Fax: (909) 881-7593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | G55682 | California |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | A84930 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 28926 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 10673 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA20947 | California |
Profile Details
| NPI number | 1063411460 |
|---|---|
| LBN Legal business name | Palm Imaging Institute, A Medical Corporation |
| DBA Doing business as | |
| Authorized official | Donaldson, Tanie Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Apr 23rd, 2018 - about 6 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 | 1063411460 | NPPES |
| California | MEDICAID | GR0063970 |
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