Merced Radiology Medical Group
LBN: Merced Radiology Medical Group
Merced Radiology Medical Group is an health care organization with primary practice located at 731 E Yosemite Ave Suite B-170, Merced CA 95340-8039. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
Merced Radiology Medical Group can be contacted via phone (209) 342-2300, or through Wagner, Mark A via phone (209) 342-2300.
Contact Information
Primary practice address
731 E Yosemite Ave Suite B-170
Merced CA 95340-8039
Phone: (209) 342-2300
Fax: (209) 524-4240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 8126 | California |
Profile Details
| NPI number | 1992796643 |
|---|---|
| LBN Legal business name | Merced Radiology Medical Group |
| DBA Doing business as | |
| Authorized official | Wagner, Mark A Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Oct 16th, 2008 - about 18 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 | 1992796643 | NPPES |
| California | MEDICAID | GR0005283 | |
| California | MEDICAID | GR0005286 | |
| California | MEDICAID | GR0005289 | |
| California | MEDICAID | GR0005282 | |
| California | MEDICAID | GR0005287 | |
| California | Other | ZZZ25145Z | |
| California | MEDICAID | GR0005280 | |
| California | MEDICAID | GR0005281 | |
| California | MEDICAID | GR0005285 |
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