Pueblo Radiology Medical Group Inc
LBN: Pueblo Radiology Medical Group Inc
Pueblo Radiology Medical Group Inc is an health care organization with primary practice located at 250 W Pueblo St , Santa Barbara CA 93105-3805. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
Pueblo Radiology Medical Group Inc can be contacted via phone (805) 682-7744, or through Harter, Lawrence via phone (805) 682-7984.
Contact Information
Primary practice address
250 W Pueblo St
Santa Barbara CA 93105-3805
Phone: (805) 682-7744
Fax: (805) 682-3321
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
NPI number | 1871549899 |
---|---|
LBN Legal business name | Pueblo Radiology Medical Group Inc |
DBA Doing business as | |
Authorized official | Harter, Lawrence Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 25th, 2006 |
Last updated | May 20th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871549899 | NPPES |
California | MEDICAID | GR0011030 | |
California | MEDICAID | GR0011034 | |
California | MEDICAID | GR0011038 | |
California | MEDICAID | GR001103A | |
California | MEDICAID | GR001103B | |
California | MEDICAID | ZZZ73471Z | |
California | MEDICAID | GR001103C | |
California | MEDICAID | GR0011035 | |
California | MEDICAID | GR0011039 | |
California | MEDICAID | GR0011037 | |
California | Other | ZZZ50521Y |
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