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MOTHER LODE DIAGNOSTIC IMAGING INC
NPI 1053456061
Radiology - Diagnostic Radiology in Jackson, CA

Active since February 20, 2007
200 MISSION BLVD, JACKSON, CA 95642(209) 223-0949(209) 223-0965 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2022, Sep 21, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Mother Lode Diagnostic Imaging Inc NPPES

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

MOTHER LODE DIAGNOSTIC IMAGING INC (NPI 1053456061) is a healthcare organization registered as a diagnostic radiology in Jackson, California and active in the NPI registry since February 2007. The organization lists Batxer Richardson, President, as its authorized official.

NPPES Registry Identity

NPI1053456061
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMOTHER LODE DIAGNOSTIC IMAGING INC
Location Address200 MISSION BLVDJackson, CA 95642-2564
Mailing AddressPo Box 5617Saginaw, MI 48603-0617 · (209) 262-1845 · Fax (989) 401-4235
Phone(209) 223-0949
Fax(209) 223-0965
Organization SubpartNo
Authorized OfficialBatxer RichardsonPresident · (209) 223-7560
Enumeration DateFebruary 20, 2007
Last NPPES UpdateOctober 7, 20223 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
✔ NPI 1053456061 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.
200 MISSION BLVD, Jackson, CA 95642
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Other Identifiers 1

MedicaidGR0043480CA

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISSA LEE PROVERBS PA-C
Physician Assistant
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500
MARY MICHELLE VANFOSSAN RD
Dietitian, Registered
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 257-7635
HASHIM RAHIM CHAUDHRY DO
Internal Medicine
200 MISSION BLVD
JACKSON, CA 95642
Amador County (916) 733-3777
LATHA SUNIL KUMAR M.D
Internal Medicine
200 MISSION BLVD
JACKSON, CA 95642
Amador County (916) 733-3777
SEAN KELLEY M.D.
Radiology (Diagnostic Radiology)
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500
AMADOR ANESTHESIA MEDICAL GROUP, INC.
Anesthesiology
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500
SOUND INPATIENT PHYSICIANS MEDICAL GROUP
Hospitalist
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500
DR. BAXTER KEY RICHARDSON IV MD
Radiology (Diagnostic Radiology)
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mother Lode Diagnostic Imaging Inc's NPI number?

The NPI number for Mother Lode Diagnostic Imaging Inc is 1053456061. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Mother Lode Diagnostic Imaging Inc located?

Mother Lode Diagnostic Imaging Inc is located at 200 Mission Blvd, Jackson, CA 95642. The listed phone number is (209) 223-0949.

What is Mother Lode Diagnostic Imaging Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Mother Lode Diagnostic Imaging Inc was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.