NPIMap

Organization Active NPI

Riverside Imaging LLC

Doing business as Computerized Diagnostic Imaging Centers Riverside

  • Diagnostic Radiology Physician
  • Riverside, CA
National Provider Identifier
1124206941
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RIVERSIDE IMAGING LLC
Doing business as
Computerized Diagnostic Imaging Centers Riverside
Practice address
4000 14TH St
Suite 109
Riverside, CA 92501-4083
Phone
(951) 276-7500
Fax
(951) 276-7543
NPI assigned
Feb 4, 2008
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Lavelle R Hardin
Title
Credentialing Anaylest
Phone
(615) 344-8203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

4000 14TH St
Suite 109
Riverside, CA 92501-4083

Mailing address

4000 14TH St
Suite 109
Riverside, CA 92501-4083
Phone (951) 276-7500

Other names 1

  • Computerized Diagnostic Imaging Centers Riverside Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1124206941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 14TH ST",
            "address_2": "SUITE 109",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014083",
            "telephone_number": "951-276-7500",
            "fax_number": "951-276-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 14TH ST",
            "address_2": "SUITE 109",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014083",
            "telephone_number": "951-276-7500",
            "fax_number": "951-276-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "LAVELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING ANAYLEST",
        "authorized_official_telephone_number": "615-344-8203"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Computerized Diagnostic Imaging Centers Riverside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.