St Jude Radiology Medical Group Inc

LBN: St Jude Radiology Medical Group Inc
St Jude Radiology Medical Group Inc is an health care organization with primary practice located at 101 E Valencia Mesa Dr , Fullerton CA 92835-3809. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. St Jude Radiology Medical Group Inc can be contacted via phone (714) 992-3000, or through Jackson, Bradley A. via phone (559) 455-4109.

Contact Information

Primary practice address
101 E Valencia Mesa Dr Fullerton CA 92835-3809
Phone: (714) 992-3000
Fax: (916) 533-0313
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Bradley A. Doctor of Medicine (MD)
Phone: (559) 455-4109

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X

Profile Details

NPI number 1255819892
LBN Legal business name St Jude Radiology Medical Group Inc
DBA Doing business as
Authorized official Jackson, Bradley A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2018
Last updated Feb 12th, 2021 - about 5 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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