PALM IMAGING INSTITUTE, A MEDICAL CORPORATION - NPI 1063411460

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 Palm Imaging Institute, A Medical Corporation NPPES

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

PALM IMAGING INSTITUTE, A MEDICAL CORPORATION (NPI 1063411460) is a healthcare organization registered as a diagnostic radiology in San Bernardino, California and active in the NPI registry since July 2005. The organization maintains 2 additional practice locations and lists Tanie Donaldson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063411460

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NamePALM IMAGING INSTITUTE, A MEDICAL CORPORATION

Location Address399 E 21ST STSan Bernardino, CA 92404-4815

Mailing Address399 E 21st StSan Bernardino, CA 92404-4815 · (909) 882-2266 · Fax (909) 881-7593

Phone(909) 882-2266

Fax(909) 881-7593

Organization SubpartNo

Authorized OfficialTanie DonaldsonOffice Manager · (909) 882-2266

Enumeration DateJuly 18, 2005

Last NPPES UpdateApril 23, 2018

✔ NPI 1063411460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CA · 28926

Definition

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

Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License G55682 (CA)

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License A84930 (CA)

Also ListedPhysical TherapistTaxonomy 225100000X · License PT 10673 (CA)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA20947 (CA)

399 E 21ST ST, San Bernardino, CA 92404

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Secondary Practice Locations 2

Location 11850 N Riverside AveRialto, CA 92376-8071 · Phone (909) 421-3040 · Fax (909) 421-3054

Location 2900 E Washington Street, Suie 200Colton, CA 92324-4192 · Phone (909) 882-5867 · Fax (909) 503-1913

Other Identifiers 1

MedicaidGR0063970CA

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