LONG BEACH MEDICAL IMAGING CENTER
NPI 1104931864
Physiological Laboratory in Long Beach, CA
- Organization
- Physiological Laboratory
About LONG BEACH MEDICAL IMAGING CENTER
This page provides the complete NPI Profile along with additional information for Long Beach Medical Imaging Center, a provider established in Long Beach, California operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1104931864 assigned on August 2006. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Long Beach Medical Imaging Center. The authorized official of this NPI record is Gaelane Rosinski Cpcs (Contracting/credentialing Specialis)
- NPI
- 1104931864 Verify this NPI
- Provider Legal Name
- MIRACOR DIAGNOSTICS, INC.
- Other Organization Name
- LONG BEACH MEDICAL IMAGING CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4200 E PACIFIC COAST HWY LONG BEACH, CA 90804
- Location Phone
- (562) 498-6322
- Mailing Address
- 445 W PARKVIEW TER ALGONQUIN, IL 60102
- Mailing Phone
- (847) 658-0996
- Mailing Fax
- (847) 658-0991
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-20-2006
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physiological Laboratory
- Taxonomy Code
- 293D00000X
- Type
- Laboratories
- License State
- CA
- Taxonomy Description
- A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104931864, enumerated as an "organization" on August 20, 2006.
The provider is located at 4200 E PACIFIC COAST HWY LONG BEACH, CA 90804 and the phone number is (562) 498-6322.
Physiological Laboratory with taxonomy code 293D00000X.
