Spectrum MRI Full Body Imaging Center

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

26965 Issued in CA

Legal business name

SPECTRUM MRI FULL BODY IMAGING CENTER

Practice address

14365 Pipeline Ave
Chino, CA 91710-5642

Phone

(909) 591-5587

Fax

(909) 591-0538

NPI assigned

Mar 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Armida Mendoza-Garcia

Title

Office Manager

Phone

(909) 591-5587

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083739668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14365 PIPELINE AVENUE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14365 PIPELINE AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105642",
            "telephone_number": "909-591-5587",
            "fax_number": "909-591-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM MRI FULL BODY IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENDOZA-GARCIA",
        "authorized_official_first_name": "ARMIDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-591-5587",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "26965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sotara Manalo Rico Professional Medical Corporation
• South Coast Children's Society, Inc (Hope Healing Connection)
• South Coast Children's Society, Inc. (South Coast Community Services)
• Southern California Injury Treatment Center
• Southern California Injury Treatment Center, LLC
• Spectrum Pain Management Center
• Jayci Sharon Spencer
• Rachel Spratta
• Gary Williams Stablein, M.D., M.B.A.
• Stay Strong Physical Therapy Inc

• Clinical Medical Laboratory in Chino, CA
• Providers in Chino, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.