San Diego Imaging-Chula Vista Llc

LBN: San Diego Imaging-Chula Vista Llc
San Diego Imaging-Chula Vista Llc is an health care organization with primary practice located at 765 Medical Center Court , Chula Vista CA 91911. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology, Ambulatory Health Care Facilities / Radiology, Mammography. Ambulatory Health Care Facilities / Radiology is the primary health care specialty. San Diego Imaging-Chula Vista Llc can be contacted via phone (619) 397-6577, or through Padelford, Rick W via phone (858) 565-0950.

Contact Information

Primary practice address
765 Medical Center Court Chula Vista CA 91911
Phone: (619) 397-6577
Fax: (619) 502-8585
Website:
Map and Directions
Authorized official contact:
Name: Padelford, Rick W
Phone: (858) 565-0950

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X 04414006 California
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X 05138506 California
Ambulatory Health Care Facilities / Radiology 261QR0200X 04414006 California
Ambulatory Health Care Facilities / Radiology 261QR0200X 05158506 California
Ambulatory Health Care Facilities / Radiology, Mammography 261QR0206X 04414006 California

Profile Details

NPI number 1649207812
LBN Legal business name San Diego Imaging-Chula Vista Llc
DBA Doing business as
Authorized official Padelford, Rick W
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2006
Last updated Dec 18th, 2015 - about 10 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 1649207812 NPPES
California MEDICAID GR0083811

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