Delta Radiology, Inc.

LBN: Delta Radiology, Inc.
Delta Radiology, Inc. is an health care organization with primary practice located at 975 S Fairmont Ave , Lodi CA 95240-5118. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Delta Radiology, Inc. can be contacted via phone (209) 334-3411, or through Wolcott, Daniel via phone (209) 339-7560.

Contact Information

Primary practice address
975 S Fairmont Ave Lodi CA 95240-5118
Phone: (209) 334-3411
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wolcott, Daniel
Phone: (209) 339-7560

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1881728327
LBN Legal business name Delta Radiology, Inc.
DBA Doing business as
Authorized official Wolcott, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Sep 12th, 2018 - about 8 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 1881728327 NPPES
California MEDICAID ZZZ47018Z

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