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:
Map and Directions
Authorized official contact:
Name: Harter, Lawrence Doctor of Medicine (MD)
Phone: (805) 682-7984

Health care specialties

SpecialtyCodeLicense #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 17 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 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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