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

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: December 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 29, 2025, Dec 16, 2025, Nov 13, 2025 and 1 more (4 updates tracked since 2024).

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 UpdateDecember 29, 20254 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1669292405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
590 S FAIR OAKS AVE STE 143, Pasadena, CA 91105
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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

What is KECK MEDICINE OF USC IMAGING CENTERS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1669292405, enumerated as an "organization" on October 16, 2024.

Where is the provider located?

The provider is located at 590 S FAIR OAKS AVE STE 143 PASADENA, CA 91105 and the phone number is (626) 517-8676.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.