Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KECK MEDICINE OF USC IMAGING CENTERS, LLC
NPI 1669292405
Clinic/Center - Radiology in Pasadena, CA

Q: What is Keck Medicine Of Usc Imaging Centers, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Active since October 16, 2024CLIA 05D2333011 · Waiver

590 S FAIR OAKS AVE STE 143, PASADENA, CA 91105(626) 517-8676(626) 517-8677 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 15, 2026, Dec 29, 2025, Dec 16, 2025 and 2 more (5 updates tracked since 2024).

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About Keck Medicine Of Usc Imaging Centers, Llc NPPES

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

KECK MEDICINE OF USC IMAGING CENTERS, LLC (NPI 1669292405) is a healthcare organization registered as a radiology in Pasadena, California and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Jeremy Church, Cfo, as its authorized official.

NPPES Registry Identity

NPI1669292405

Entity TypeOrganization

Primary Taxonomy261QR0200X

Legal Business NameKECK MEDICINE OF USC IMAGING CENTERS, LLC

Location Address590 S FAIR OAKS AVE STE 143Pasadena, CA 91105-2614

Mailing Address1510 San Pablo St Ste 600Los Angeles, CA 90033-5405 · (323) 442-8747

Phone(626) 517-8676

Fax(626) 517-8677

Organization SubpartNo

Authorized OfficialJeremy ChurchCfo · (323) 442-8747

Enumeration DateOctober 16, 2024

Last NPPES UpdateSeptember 15, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2026

✔ NPI 1669292405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities

Taxonomy Code261QR0200X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

590 S FAIR OAKS AVE STE 143, Pasadena, CA 91105

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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2333011

Keck Medicine Of Usc Imaging Centers, LLC · Pasadena, CA

Active · expires Oct 27, 2027

CLIA Number05D2333011

Laboratory TypeFree Standing Imaging Cen

Certificate Effective DateOctober 28, 2025

Certificate Expiration DateOctober 27, 2027

Laboratory DirectorJeffery Silverman

Laboratory Phone(626) 568-1622

Laboratory LocationKeck Medicine Of Usc Imaging Centers, LLC590 S Fair Oaks Ave Suite 143, Pasadena, CA 91105

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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 Keck Medicine Of Usc Imaging Centers, LLC's NPI number?

The NPI number for Keck Medicine Of Usc Imaging Centers, LLC is 1669292405. It was assigned to this organization in the NPPES registry on October 16, 2024.

Where is Keck Medicine Of Usc Imaging Centers, LLC located?

Keck Medicine Of Usc Imaging Centers, LLC is located at 590 S Fair Oaks Ave Ste 143, Pasadena, CA 91105. The listed phone number is (626) 517-8676.

What is Keck Medicine Of Usc Imaging Centers, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Does Keck Medicine Of Usc Imaging Centers, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2333011) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Keck Medicine Of Usc Imaging Centers, LLC was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.