Placerville Radiology Medical Group Inc

LBN: Placerville Radiology Medical Group Inc
Placerville Radiology Medical Group Inc is an health care organization with primary practice located at 1100 Marshall Way , Placerville CA 95667-6533. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Radiological Physics, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Placerville Radiology Medical Group Inc can be contacted via phone (530) 622-1441, or through Okon, Anietie via phone (530) 626-2613.

Contact Information

Primary practice address
1100 Marshall Way Placerville CA 95667-6533
Phone: (530) 622-1441
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Okon, Anietie Doctor of Medicine (MD)
Phone: (530) 626-2613

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X California
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X California
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X California
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X California
Allopathic & Osteopathic Physicians / Radiological Physics 2085R0205X California
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X California

Profile Details

NPI number 1700847621
LBN Legal business name Placerville Radiology Medical Group Inc
DBA Doing business as
Authorized official Okon, Anietie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2006
Last updated Oct 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700847621 NPPES
California MEDICAID GR0053460

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