MODESTO RADIOLOGICAL MEDICAL GROUP, INC - NPI 1992170542

Q: What is Modesto Radiological Medical Group, Inc's specialty?

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

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About Modesto Radiological Medical Group, Inc NPPES

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

MODESTO RADIOLOGICAL MEDICAL GROUP, INC (NPI 1992170542) is a healthcare organization registered as a diagnostic radiology in San Mateo, California and active in the NPI registry since December 2015. The organization lists Mark Moore, Cfo, as its authorized official.

NPPES Registry Identity

NPI1992170542

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameMODESTO RADIOLOGICAL MEDICAL GROUP, INC

Location Address728 MURPHY DRSan Mateo, CA 94402-3421

Mailing Address1524 Mchenry Ave, Suite 430Modesto, CA 95350-4500 · (559) 455-4009 · Fax (916) 533-0023

Phone(599) 455-4009

Fax(916) 533-0313

Organization SubpartNo

Authorized OfficialMark MooreCfo · (209) 342-5946

Enumeration DateDecember 8, 2015

Last NPPES UpdateOctober 4, 2017

✔ NPI 1992170542 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.

728 MURPHY DR, San Mateo, CA 94402

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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

Other Providers at the Same Location NPPES 5

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

I V RADIOLOGY MEDICAL GROUP

Radiology (Diagnostic Radiology)