ST. JUDE RADIOLOGY MEDICAL GROUP, INC. - NPI 1043732019

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

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About St. Jude Radiology Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. JUDE RADIOLOGY MEDICAL GROUP, INC. (NPI 1043732019) is a healthcare organization registered as a diagnostic radiology in Sacramento, California and active in the NPI registry since July 2017. The organization lists Bradley A. Jackson, Medical Director / Ceo, as its authorized official.

NPPES Registry Identity

NPI1043732019

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameST. JUDE RADIOLOGY MEDICAL GROUP, INC.

Location Address4608 T STSacramento, CA 95819-4744

Mailing AddressPo Box 940Newbury Park, CA 91319-0940

Phone(714) 992-3978

Organization SubpartNo

Authorized OfficialBradley A. JacksonMedical Director / Ceo · (714) 992-3978

Enumeration DateJuly 12, 2017

✔ NPI 1043732019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

4608 T ST, Sacramento, CA 95819

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP