Modesto Radiological Medical Group, Inc.

LBN: Modesto Radiological Medical Group, Inc.
Modesto Radiological Medical Group, Inc. is an health care organization with primary practice located at 1524 Mchenry Ave Suite 100, Modesto CA 95350-4500. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Modesto Radiological Medical Group, Inc. can be contacted via phone (209) 342-5920, or through Zeppa, Michael via phone (209) 342-5920.

Contact Information

Primary practice address
1524 Mchenry Ave Suite 100 Modesto CA 95350-4500
Phone: (209) 342-5920
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Zeppa, Michael
Phone: (209) 342-5920

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X

Profile Details

NPI number 1992747547
LBN Legal business name Modesto Radiological Medical Group, Inc.
DBA Doing business as
Authorized official Zeppa, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Dec 9th, 2022 - about 4 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 1992747547 NPPES
California MEDICAID ZZZ78409Z
California MEDICAID GR0043720
California MEDICAID GR0050090
California MEDICAID ZZZ02008Z
California MEDICAID ZZZ72881Z
California MEDICAID ZZZ75541Z
California MEDICAID GR0043723
California MEDICAID GR0043724
California MEDICAID GR0050220
California MEDICAID GR0050221
California MEDICAID GR0043722
California MEDICAID ZZZ72867Z

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